Individual
ROBERT M BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
415 E PARKCENTER BLVD, STE 114, BOISE, ID 83706-6504
(208) 336-8433
(208) 336-8441
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
23604
CA
225100000X
Physical Therapist
PT00008420
WA
225100000X
Physical Therapist
Primary
RPT1786
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0330315
WA L&I
ID
05
—
1912974650
—
ID
05
—
1912974650-000
—
ID
05
—
806686000
—
ID
01
—
P00061313
RR MEDICARE
ID
Enumeration date
03/01/2006
Last updated
01/06/2016
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