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Individual

GREGORY MATTHEW NEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSPT, DPT

Contact information

Practice address
625 RAMSEY AVE, SUITE B, GRANTS PASS, OR 97527-5808
(541) 476-1919
(541) 476-1920
Mailing address
625 RAMSEY AVE, SUITE B, GRANTS PASS, OR 97527-5808
(541) 476-1919
(541) 476-1920

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4205
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
081009-022
BLUECROSS BLUESHIELD
OR
05
182506
OR
01
P00620265
MEDICARE RAILROAD
OR
Enumeration date
11/16/2005
Last updated
10/16/2008
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