Virginia Barak, MD
Individual provider Active NPI Pediatrics Physician · Springfield, OR
NPI 1063948461 · NPPES record last updated Jan 26, 2021
Key facts
- NPI
- 1063948461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD200180 (OR)
- Practice address
- 3377 Riverbend Dr
Springfield, OR 97477-8803 - Phone
- (541) 222-6160
- Fax
- (541) 222-6166
- NPI assigned
- May 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD200180 | OR | MD | Pediatrics Physician |
| BP10059338 | TX | MD | Pediatrics Physician |
Interoperability endpoints
- vbarak455495@direct.peacehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | BP10059338 | TX | |
| Pediatrics Physician | 208000000X | MD200180 | OR | Yes |
Addresses
Primary practice location
3377 Riverbend Dr
Springfield, OR 97477-8803
Mailing address
1115 SE 164TH Ave Dept 358
Vancouver, WA 98683-8004
Phone (360) 729-1253
Other practice location 1
1200 Hilyard St
Eugene, OR 97401-8122
Phone (458) 205-6061
Other practice location 2
4010 Aerial Way
Eugene, OR 97402-9757
Phone (541) 242-8500
Other practice location 3
1515 Village Dr
Cottage Grove, OR 97424-9700
Phone (541) 942-6614
Other practice location 4
4900 Mueller Boulevard, Suite 3S.066C
U of Texas at Austin, Dell Medical School Pediatrics
Austin, TX 78723
Phone (512) 324-0165
Other providers in Springfield, OR
- Jim G Ballard
- Michael R Balm
- Alyssa Baltrusch
- Bruce W. Bamforth
- Sudeshna Banerjee
- Anupa Baral
- Samson Barasa
- Stephanie Lauren Barham
- Stari Skye Barklow
- Miranda Barlow
All providers in Springfield, OR · Pediatrics Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.