Individual
LAWRENCE RAY BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1375 N 10TH AVE, SUITE B, STAYTON, OR 97383-2099
(503) 769-7546
(503) 769-8563
Mailing address
1375 N 10TH AVE, SUITE B, STAYTON, OR 97383-2099
(503) 769-7546
(503) 769-8563
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD9267
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017079
—
OR
01
—
MD9267
STATE LICENSE
OR
Enumeration date
02/17/2006
Last updated
03/20/2015
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