Active NPI
Michael John Barrett, M.D.
- Allergy & Immunology Physician
- Tigard, OR
National Provider Identifier
1497868145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- OR MD16160
- Practice address
- 9735 SW Shady LN
Ste 102
Tigard, OR 97223-5481 - Phone
- (503) 620-5614
- Fax
- (503) 598-4688
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | OR MD16160 | OR | Primary |
| Allergy & Immunology Physician | 207K00000X | WA MD00027120 | WA |
Addresses
Primary practice location
9735 SW Shady LN
Ste 102
Tigard, OR 97223-5481
Mailing address
9735 SW Shady LN
Ste 102
Tigard, OR 97223-5481
Phone (503) 620-5614
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD16160 | Other | OR | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OR MD16160 | OR | MD | Allergy & Immunology Physician |
| WA MD00027120 | WA | MD | Allergy & Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477526400000",
"number": "1497868145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9735 SW SHADY LN",
"address_2": "STE 102",
"city": "TIGARD",
"state": "OR",
"postal_code": "972235481",
"telephone_number": "503-620-5614",
"fax_number": "503-598-4688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9735 SW SHADY LN",
"address_2": "STE 102",
"city": "TIGARD",
"state": "OR",
"postal_code": "972235481",
"telephone_number": "503-620-5614",
"fax_number": "503-598-4688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2016-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "OR",
"license": "OR MD16160",
"primary": true
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "WA",
"license": "WA MD00027120",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MD16160",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.