Austin Mitchell Newsome, LD
Denturist in Coos Bay, OR. Individual provider (NPI-1).
NPI number1093372039
StatusActive
Last updated in NPPESAug 4, 2022
Details
- NPI
- 1093372039
- Entity type
- Individual (NPI-1)
- Name
- Austin Mitchell Newsome
- Credential
- LD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 24, 2019
- Certification date
- Aug 4, 2022
- Last updated
- Aug 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122400000X | Denturist | DT-DO-10224514 | OR | Yes |
| 122400000X | Denturist | DN60778096 | WA |
Practice location
215 Curtis AveCoos Bay, OR 97420-1619
Phone 541-604-6053
Mailing address
215 Curtis AveCoos Bay, OR 97420-1619
Phone 541-604-6053
Other practice locations
1242 State Ave Ste G
Marysville, WA 98270-3672
Marysville, WA 98270-3672
Phone 833-900-1050 · Fax 833-200-5256
1251 Auburn Way N
Auburn, WA 98002-4148
Auburn, WA 98002-4148
Phone 253-300-1860 · Fax 833-200-5256
740 Avenue H Ste 2
Seaside, OR 97138-6619
Seaside, OR 97138-6619
Phone 833-900-1050 · Fax 833-200-5256
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