Provider Demographics
NPI:1265546469
Name:BARRINGER, JOHN L
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:L
Last Name:BARRINGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 SW HAYTER ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:OR
Mailing Address - Zip Code:97338-1843
Mailing Address - Country:US
Mailing Address - Phone:503-949-5760
Mailing Address - Fax:
Practice Address - Street 1:606 SW HAYTER ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:OR
Practice Address - Zip Code:97338-1843
Practice Address - Country:US
Practice Address - Phone:503-949-5760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD00001949152W00000X
OR2061ATI152W00000X
3747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No152W00000XEye and Vision Services ProvidersOptometrist