Individual
DR. BARRY MICHAEL AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17704 JEAN WAY, SUITE 102, LAKE OSWEGO, OR 97035
(503) 635-9221
(503) 635-5902
Mailing address
17704 JEAN WAY, SUITE 102, LAKE OSWEGO, OR 97035
(503) 635-9221
(503) 635-5902
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0472
VT
207N00000X
Dermatology Physician
Primary
MD28896
OR
207ND0900X
Dermatopathology Physician
0472
VT
207ND0900X
Dermatopathology Physician
MD28896
OR
Other
Enumeration date
07/21/2006
Last updated
01/29/2009
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