Individual provider · Type 1 NPI

Bradley Thomas Newhart, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1801165337 Active

Practice location

3181 SW Sam Jackson Park Rd., Mail Code SJH-2
Portland, OR 97239-3011

Call (503) 494-7641 Map

Fax (503) 494-8368

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA176419 (OR)
Medical Physician Assistant Primary 363AM0700XPA176419 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1801165337

Bradley Thomas Newhart, PA-C's National Provider Identifier is 1801165337, issued on Dec 29, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Jan 28, 2021.