Individual
ANDREW GAYLORD BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
417 SW 117TH AVE STE 200, PORTLAND, OR 97225-5924
(503) 216-1800
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1855
OR
103TH0004X
Health Psychologist
1855
OR
Other
Enumeration date
04/27/2009
Last updated
04/26/2022
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