Barry, John Maynard
Barry, John Maynard is an individual health care provider with primary practice located at 3303 Sw Bond Ave , Portland OR 97239-4501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Transplant Surgery. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Barry, John Maynard can be contacted via phone (503) 346-1500.Contact Information
Primary practice address
3303 Sw Bond Ave
Portland OR 97239-4501
Phone: (503) 346-1500
Fax: (503) 346-1501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD07331 | Oregon |
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | MD07331 | Oregon |
Profile Details
| NPI number | 1609882281 |
|---|---|
| LBN Legal business name | Barry, John Maynard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Mar 13th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609882281 | NPPES |
| Oregon | MEDICAID | 246389 |
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