Individual
JOHN M BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
506 NE 49TH AVE, PORTLAND, OR 97213-2928
(503) 297-2222
Mailing address
506 NE 49TH AVE, PORTLAND, OR 97213-2928
(503) 297-2222
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00328
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228748
—
OR
Enumeration date
09/28/2006
Last updated
09/26/2016
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