Newstart PMR Clinic, P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD14393 Issued in OR

Legal business name

NEWSTART PMR CLINIC, P.C.

Practice address

10101 SE Main St Ste 2016
Portland, OR 97216-2457

Phone

(503) 253-3882

Fax

(503) 253-2848

NPI assigned

Aug 4, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Harold G Lee, MDNPI 1891822425

Title

President

Phone

(503) 253-3882

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harold G Lee, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Portland, OR
  • NPI 1891822425
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1235130857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 SE MAIN ST STE 2016",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162457",
            "telephone_number": "503-253-3882",
            "fax_number": "503-253-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 SE MAIN ST STE 2016",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162457",
            "telephone_number": "503-253-3882",
            "fax_number": "503-253-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWSTART PMR CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-04",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-253-3882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OR",
            "license": "MD14393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135657",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "R134350",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gretchen Newmark, R.D., M.A.
• Daniella Newnham
• Lisa Marie Newport
• Brittaney Rachell Newsome, PA-C
• Eluid Newsome
• Sonya Marie Newstrom, CADC I/QMHA-I
• Lisa Marie Newton-Klucevek, DO
• Adrienne Newton, DMD
• Carol Irene Newton
• Jonathan Newton

• Physical Medicine & Rehabilitation Physician in Portland, OR
• Providers in Portland, OR by specialty
• Physical Medicine & Rehabilitation Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.