Individual
JOHN SELBY BARTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1321 NE 99TH AVE, SUITE 100, PORTLAND, OR 97220-9436
(503) 215-9900
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD18509
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059431
—
OR
01
—
P00609310
RR MEDICARE
OR
Enumeration date
05/14/2007
Last updated
10/17/2012
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