Newberry, Stephen G

Newberry, Stephen G is an individual health care provider with primary practice located at 13200 Sw Pacific Hwy , Tigard OR 97223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Newberry, Stephen G can be contacted via phone (503) 598-2000.

Contact Information

Primary practice address
13200 Sw Pacific Hwy Tigard OR 97223
Fax: (503) 639-0920
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD16896 Oregon

Profile Details

NPI number 1780635961
LBN Legal business name Newberry, Stephen G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Oct 15th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780635961 NPPES
Oregon MEDICAID 033584
Oregon Other 080077419

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