Individual
BARRY MICHAEL HALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
3206 ONYX AVE, KLAMATH FALLS, OR 97603-7279
(541) 882-3992
Mailing address
1516 MITCHELL ST, KLAMATH FALLS, OR 97601-4315
(541) 205-3735
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
111859
OR
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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