Davis, Barry N.

Davis, Barry N. is an individual health care provider with primary practice located at 12360 Se Sunnyside Rd , Clackamas OR 97015-9320. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Davis, Barry N. can be contacted via phone (503) 659-4988.

Contact Information

Primary practice address
12360 Se Sunnyside Rd Clackamas OR 97015-9320
Phone: (503) 659-4988
Fax: (503) 698-4018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO18093 Oregon
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X DO18093 Oregon

Profile Details

NPI number 1356324842
LBN Legal business name Davis, Barry N.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Aug 2nd, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356324842 NPPES
Oregon Other 080111539 RR MEDICARE
Oregon MEDICAID 054911 RR MEDICARE

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