John L Barringer

Individual provider Active NPI Attendant Care Provider · Dallas, OR

NPI 1265546469 · NPPES record last updated Jun 28, 2022

Key facts

NPI
1265546469
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
606 SW Hayter St
Dallas, OR 97338-1843
Phone
(503) 949-5760
NPI assigned
Aug 18, 2006
Sex
Male
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

State licenses

LicenseStateTypeSpecialty
OD00001949WAMDOptometrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00001949 WA
Optometrist 152W00000X 2061ATI OR
Attendant Care Provider 3747A0650X Yes

Addresses

Primary practice location

606 SW Hayter St
Dallas, OR 97338-1843

Mailing address

606 SW Hayter St
Dallas, OR 97338-1843
Phone (503) 949-5760

Other providers in Dallas, OR

All providers in Dallas, OR · Attendant Care Provider in Oregon

Sources for this page

Verify at the official NPI Registry.