Connie Barber, ANP
Individual provider Active NPI Nurse Practitioner · Portland, OR
NPI 1891787602 · NPPES record last updated Oct 8, 2008
Key facts
- NPI
- 1891787602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 000031921N3 (OR)
- Practice address
- 2222 NW Lovejoy St
Suite 606
Portland, OR 97210-3033 - Phone
- (503) 219-8556
- Fax
- (503) 248-4733
- NPI assigned
- Aug 17, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 000031921N3 | OR | Yes |
Addresses
Primary practice location
2222 NW Lovejoy St
Suite 606
Portland, OR 97210-3033
Mailing address
2222 NW Lovejoy St
Suite 606
Portland, OR 97210-3033
Phone (503) 229-7554
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292349 | Medicaid | OR |
Other providers in Portland, OR
- Barbara G. Isaacs, PH.D.,PC
- Renee Alexandre Barbara
- Jennifer Marie Barbay
- Elissa Barbee
- Linda A Barbee
- Jessica L Barber
- Kaitlin Barber
- Kristin Barber
- Leah Barber
- McKenna Barber
All providers in Portland, OR · Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 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.