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Individual

DR. BRAD BARLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
351 SW 9TH ST, ONTARIO, OR 97914-2639
(541) 881-7100
Mailing address
351 SW 9TH ST, ONTARIO, OR 97914-2639
(541) 881-7100

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD21763
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134320
OR
Enumeration date
04/13/2006
Last updated
10/18/2007
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