Provider Demographics
NPI:1609857168
Name:NEWMAN, STEPHEN ROY (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:ROY
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:832 ELM ST SW
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97321-2062
Mailing Address - Country:US
Mailing Address - Phone:541-812-5820
Mailing Address - Fax:541-812-5821
Practice Address - Street 1:832 ELM ST SW
Practice Address - Street 2:SUITE 101
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97321-2062
Practice Address - Country:US
Practice Address - Phone:541-812-5820
Practice Address - Fax:541-812-5821
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD21501207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR129959Medicaid
OR129959Medicaid
ORE58723Medicare UPIN