Individual
VIRGINIA BARAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3377 RIVERBEND DR, SPRINGFIELD, OR 97477-8803
(541) 222-6160
(541) 222-6166
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1253
(360) 729-3185
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
BP10059338
TX
208000000X
Pediatrics Physician
Primary
MD200180
OR
Other
Enumeration date
05/04/2017
Last updated
01/26/2021
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