Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A92621 | CA |
N | 111NI0900X | Internist | A92621 | CA |
Y | 207RH0000X | Hematologist | MD156151 | OR |
NPI | 1477539203 |
---|---|
Provider Name | Dr. Laura Newell |
First Address | Portland, OR 97239-3098 |
Second Address | Portland, OR 97239-3011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2005 |
Last Update Date | 22/11/2013 |