Provider Demographics
NPI:1871599217
Name:TORRES, BARBARA J (CNM, MSN)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:TORRES
Suffix:
Gender:F
Credentials:CNM, MSN
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:J
Other - Last Name:VANROY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CNM
Mailing Address - Street 1:PO BOX 3158
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-3158
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9135 SW BARNES RD
Practice Address - Street 2:STE 761
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-6646
Practice Address - Country:US
Practice Address - Phone:503-216-2602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI145893-030163W00000X
WI145893-032367A00000X
OR201701661NP-PP367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41185300Medicaid
WI41185300Medicaid
WI521830Medicare Oscar/Certification
WI0002:73585Medicare PIN
WIQ14959Medicare UPIN
WIMT1088168OtherDEA
WI521830Medicare Oscar/Certification