Provider Demographics
NPI:1124179189
Name:NEWTON, JULIE L (OT)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:L
Last Name:NEWTON
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2936 NE MAREA DR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-7002
Mailing Address - Country:US
Mailing Address - Phone:541-382-5531
Mailing Address - Fax:541-317-4638
Practice Address - Street 1:1876 NE HIGHWAY 20
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-4833
Practice Address - Country:US
Practice Address - Phone:541-382-5531
Practice Address - Fax:541-317-4638
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR985921225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist