Individual
HOLLY BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 S WAHANNA RD, SEASIDE, OR 97138-7735
(503) 717-7000
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD150788
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500623060
—
OR
Enumeration date
06/06/2007
Last updated
08/27/2013
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