Provider Demographics
NPI:1114386000
Name:NEWTON, LEVY (CNA)
Entity Type:Individual
Prefix:
First Name:LEVY
Middle Name:
Last Name:NEWTON
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:676 NE NEGUS WAY
Mailing Address - Street 2:BOX 1710
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-8527
Mailing Address - Country:US
Mailing Address - Phone:541-516-4087
Mailing Address - Fax:541-504-1195
Practice Address - Street 1:340 NW 5TH ST
Practice Address - Street 2:BOX 1710
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-1869
Practice Address - Country:US
Practice Address - Phone:541-516-4087
Practice Address - Fax:541-504-1195
Is Sole Proprietor?:No
Enumeration Date:2016-02-19
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201393387CNA376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide