Provider Demographics
NPI:1083963367
Name:PAGTER-NEWTON, POKI (BS)
Entity type:Individual
Prefix:
First Name:POKI
Middle Name:
Last Name:PAGTER-NEWTON
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:POKI
Other - Middle Name:
Other - Last Name:PAGTER-NEWTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BS
Mailing Address - Street 1:4 FOSTER PL
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743-5100
Mailing Address - Country:US
Mailing Address - Phone:503-957-1858
Mailing Address - Fax:
Practice Address - Street 1:122 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743-2679
Practice Address - Country:US
Practice Address - Phone:603-542-5449
Practice Address - Fax:603-542-5455
Is Sole Proprietor?:No
Enumeration Date:2012-09-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health