Individual
MS. MARY EILEEN BARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10605 SW CITATION DR, BEAVERTON, OR 97008-0406
(503) 579-5471
Mailing address
10605 SW CITATION DR, BEAVERTON, OR 97008-0406
(503) 579-5471
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1730
OR
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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