NPI 1801213137 · live from the CMS NPI Registry
Alisa Rose Awtry, M.D.
Family Medicine in Newberg, OR. National Provider Identifier 1801213137, active.
NPI record
| NPI | 1801213137 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1000 N Providence Dr Ste 210, Newberg, OR 97132 |
| Practice phone | 503-537-5900 |
| Mailing address | Po Box 3158, Portland, OR 97208 |
| Enumerated | March 25, 2014 |
| Last updated | June 18, 2023 |
| Sole proprietor | No |
| Other names | Alisa Berman |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | a138008 (CA) |
| Family Medicine primary | 207Q00000X | MD211147 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.