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Individual

MR. IAN LOCHEIL BARTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CFNP

Contact information

Practice address
18610 NW CORNELL RD, STE 101, HILLSBORO, OR 97124-9204
(503) 216-9360
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200850042NP
OR
363LF0000X
Family Nurse Practitioner
R48114
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000K3526
NM
05
023621
OR
01
HSZ196
MEDICARE PART B
NM
01
P00694147
RR MEDICARE - PHS
OR
Enumeration date
11/02/2005
Last updated
03/17/2015
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