Ethan J Newcomb, PSS
Ethan J Newcomb, PSS is a Peer Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2020.
- Licensed in
- OR
- In the registry since
- 2020
Practice location Address checks out
1438 SE Division StPortland, OR 97202-1140
Phone: (503) 548-0346
Fax: (503) 232-5959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence THW000104645 (OR) |
|---|
Record details
| NPI number | 1699373324 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PSS |
| Sole proprietor | No |
| NPI enumerated | October 14, 2020 |
| Last updated in NPPES | August 26, 2021 |
| Certification date | August 26, 2021 |
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