Individual
MR. HAROLD BRUCE BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12400 NW CORNELL RD, PORTLAND, OR 97229
(503) 626-0939
(503) 643-1919
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD23457
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227865
—
OR
Enumeration date
06/20/2006
Last updated
08/10/2018
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