Individual
EVAGELIA BAROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12442 SW SCHOLLS FERRY RD, SUITE 106, TIGARD, OR 97223-3396
(503) 216-9200
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO26816
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006209
—
OR
01
—
P00604907
RR MEDICARE - PROVIDENCE
OR
Enumeration date
06/06/2007
Last updated
10/02/2020
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