Individual
DR. MICHAEL JOSEPH BARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
890 OAK ST SE BLDG A, SALEM, OR 97301-3905
(503) 561-5634
Mailing address
890 OAK ST SE BLDG A, SALEM, OR 97301-3905
(503) 561-5634
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2006017109
MO
207P00000X
Emergency Medicine Physician
2008029062
MO
207P00000X
Emergency Medicine Physician
Primary
MD176548
OR
207P00000X
Emergency Medicine Physician
Q2428
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477672483
—
MO
05
—
500712596
—
OR
Enumeration date
03/29/2007
Last updated
09/29/2016
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