Individual
DR. GINA-MARIE BARLETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7327
(503) 418-6718
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7327
(503) 418-6718
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD219029
OR
2080P0210X
Pediatric Nephrology Physician
4301076436
MI
2080P0210X
Pediatric Nephrology Physician
43741
AZ
2080P0210X
Pediatric Nephrology Physician
Primary
MD219029
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
580589
—
AZ
Enumeration date
02/17/2006
Last updated
04/10/2024
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