Individual
GARY L BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
760 SW MADISON AVE STE 103, CORVALLIS, OR 97333-4589
(541) 752-9826
(866) 905-8115
Mailing address
760 SW MADISON AVE STE 103, CORVALLIS, OR 97333-4589
(541) 752-9826
(866) 905-8115
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1688
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
844704002
REGENCE BCBSO PROV NO
OR
Enumeration date
05/07/2007
Last updated
03/27/2023
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