Provider Demographics
NPI:1427086339
Name:NEUMANN, PAUL J (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:J
Last Name:NEUMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1401 N 10TH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:STAYTON
Mailing Address - State:OR
Mailing Address - Zip Code:97383-1486
Mailing Address - Country:US
Mailing Address - Phone:503-769-6386
Mailing Address - Fax:503-769-5647
Practice Address - Street 1:1401 N 10TH AVE STE 100
Practice Address - Street 2:
Practice Address - City:STAYTON
Practice Address - State:OR
Practice Address - Zip Code:97383-1486
Practice Address - Country:US
Practice Address - Phone:503-769-6386
Practice Address - Fax:503-769-5647
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD24097207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR35-2340015OtherBUSINESS ID
OR227479Medicaid
ORH96707Medicare UPIN
OR227479Medicaid