Individual
LISA BARROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1277 NE 14TH LN, GRESHAM, OR 97030-4218
(503) 734-6301
Mailing address
1277 NE 14TH LN, GRESHAM, OR 97030-4218
(503) 734-6301
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19513
OR
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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