Provider Demographics
NPI:1407120231
Name:NEWCOMB, BRITTANY J (LMT)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:J
Last Name:NEWCOMB
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:319 SW WASHINGTON ST
Mailing Address - Street 2:1001
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97204
Mailing Address - Country:UM
Mailing Address - Phone:503-224-5010
Mailing Address - Fax:503-248-5626
Practice Address - Street 1:319 SW WASHINGTON ST
Practice Address - Street 2:1001
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97204-2635
Practice Address - Country:US
Practice Address - Phone:503-224-5010
Practice Address - Fax:503-248-5626
Is Sole Proprietor?:No
Enumeration Date:2012-02-24
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OR18437225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist