Holly Barker, MD
Individual provider Active NPI Surgery Physician · Seaside, OR
NPI 1134322258 · NPPES record last updated Aug 27, 2013
Key facts
- NPI
- 1134322258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- MD150788 (OR)
- Practice address
- 725 S Wahanna Rd
Seaside, OR 97138-7735 - Phone
- (503) 717-7000
- NPI assigned
- Jun 6, 2007
- 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)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD150788 | OR | MD | Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD150788 | OR | Yes |
Addresses
Primary practice location
725 S Wahanna Rd
Seaside, OR 97138-7735
Mailing address
PO Box 3158
Portland, OR 97208-3158
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500623060 | Medicaid | OR |
Other providers in Seaside, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2013. 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.