Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD00029511 | WA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD00029511 | WA |
N | 207XS0106X | Orthopaedic Hand Surgeon | ME107499 | FL |
NPI | 1215924055 |
---|---|
Provider Name | Dr. Craig Charles Newland |
First Address | Vancouver, WA 98664-1913 |
Second Address | Vancouver, WA 98686-2719 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2005 |
Last Update Date | 29/01/2013 |