Individual
MRS. BARBARA ANN IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1270 KOTNUM ROAD, WARMSPRINGS, OR 97761-1209
(541) 553-1196
(541) 553-2135
Mailing address
PO BOX 1209, WARM SPRINGS, OR 97761-1209
(541) 553-3070
(541) 553-2135
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
088000415 RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HSZ204
MEDICARE GROUP NUMBER
—
Enumeration date
05/08/2009
Last updated
05/08/2009
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