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Individual

BARBARA JUNE MANTHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1460 N COAST HWY STE B, NEWPORT, OR 97365-2403
(541) 265-5581
(888) 979-4637
Mailing address
1460 N COAST HWY STE B, NEWPORT, OR 97365-2403
(541) 265-5581
(888) 979-4637

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NPC-0001856
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500646786
OR
Enumeration date
03/29/2012
Last updated
05/12/2021
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