Individual
DR. MICHAEL JOHN BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9735 SW SHADY LN, STE 102, TIGARD, OR 97223-5481
(503) 620-5614
(503) 598-4688
Mailing address
9735 SW SHADY LN, STE 102, TIGARD, OR 97223-5481
(503) 620-5614
(503) 598-4688
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
OR MD16160
OR
207K00000X
Allergy & Immunology Physician
WA MD00027120
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD16160
STATE LICENSE
OR
Enumeration date
08/16/2006
Last updated
10/27/2016
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