Individual
MRS. JEAN H BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
24076 SE STARK ST, SUITE 200, GRESHAM, OR 97030-3373
(503) 491-1666
(503) 491-1667
Mailing address
PO BOX 2485, GRESHAM, OR 97030-0660
(503) 491-1666
(503) 491-1667
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
368126
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
368126
O.T. LICENSE
OR
Enumeration date
06/06/2007
Last updated
01/20/2011
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