Individual
RAYANN E. BARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1460 G ST, SPRINGFIELD, OR 97477-4112
(541) 677-4313
(541) 677-4533
Mailing address
PO BOX 11840, WESTMINSTER, CA 92685-1840
(541) 677-4313
(541) 677-4533
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA00669
OR
363AM0700X
Medical Physician Assistant
Primary
PA00669
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217562
—
OR
01
—
970016302
RAILROAD MEDICARE #
OR
01
—
PA00669
STATE LICENSE
OR
Enumeration date
01/27/2006
Last updated
05/22/2008
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