Individual
DR. JOHN MAYNARD BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 346-1500
(503) 346-1501
Mailing address
3303 SW BOND AVE, CH10U, PORTLAND, OR 97239-4501
(503) 346-1500
(503) 346-1501
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
MD07331
OR
208800000X
Urology Physician
Primary
MD07331
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246389
—
OR
Enumeration date
08/01/2006
Last updated
03/13/2014
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