Provider Demographics
NPI:1215350939
Name:NEWMAN, RACHAEL ELIZABETH (DC)
Entity type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:ELIZABETH
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:ELIZABETH
Other - Last Name:LUND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8365 SW WARM SPRINGS ST
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-9003
Mailing Address - Country:US
Mailing Address - Phone:503-855-3375
Mailing Address - Fax:503-855-3043
Practice Address - Street 1:8365 SW WARM SPRINGS ST
Practice Address - Street 2:
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-9003
Practice Address - Country:US
Practice Address - Phone:503-855-3375
Practice Address - Fax:503-855-3043
Is Sole Proprietor?:No
Enumeration Date:2014-01-31
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5534111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor