Individual
MR. ENRIQUE BARRERA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
12442 SW SCHOLLS FERRY RD STE 100, TIGARD, OR 97223-0803
(503) 215-9900
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201142502RN
OR
363LF0000X
Family Nurse Practitioner
Primary
201606607NP
OR
Other
Enumeration date
12/24/2011
Last updated
04/21/2023
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