Mary K Barnhart, M.D.
Individual provider Active NPI Surgery Physician · Gresham, OR
NPI 1215048665 · NPPES record last updated Sep 25, 2008
Key facts
- NPI
- 1215048665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- MD15055 (OR)
- Practice address
- 831 NW Council Dr
Suite 301
Gresham, OR 97030-3721 - Phone
- (503) 661-9700
- Fax
- (503) 661-9800
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| MD15055 | OR | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rose City Breast Care, LLC | Surgery | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD15055 | OR | Yes |
Addresses
Primary practice location
831 NW Council Dr
Suite 301
Gresham, OR 97030-3721
Mailing address
831 NW Council Dr
Suite 301
Gresham, OR 97030-3721
Phone (503) 661-9700
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2008. 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.