Provider Demographics
NPI:1437822186
Name:BARR, JEYONNA
Entity Type:Individual
Prefix:
First Name:JEYONNA
Middle Name:
Last Name:BARR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2380 SW VERMONT ST APT 10
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-1972
Mailing Address - Country:US
Mailing Address - Phone:346-297-0043
Mailing Address - Fax:
Practice Address - Street 1:2380 SW VERMONT ST APT 10
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-1972
Practice Address - Country:US
Practice Address - Phone:346-297-0043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula