Provider Demographics
NPI:1265863229
Name:NEWMAN, LINDSAY (LMT)
Entity Type:Individual
Prefix:MISS
First Name:LINDSAY
Middle Name:
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4690 SW HALL BLVD
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-0562
Mailing Address - Country:US
Mailing Address - Phone:503-724-4443
Mailing Address - Fax:503-536-6822
Practice Address - Street 1:4690 SW HALL BLVD
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-0562
Practice Address - Country:US
Practice Address - Phone:503-724-4443
Practice Address - Fax:503-536-6822
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-02
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR16508225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist