Provider Demographics
NPI:1578522231
Name:BARTON, VERNON E (MD)
Entity Type:Individual
Prefix:DR
First Name:VERNON
Middle Name:E
Last Name:BARTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:894 SW 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:OR
Mailing Address - Zip Code:97914-2627
Mailing Address - Country:US
Mailing Address - Phone:541-889-0847
Mailing Address - Fax:541-889-0849
Practice Address - Street 1:894 SW 4TH AVE
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:OR
Practice Address - Zip Code:97914-2627
Practice Address - Country:US
Practice Address - Phone:541-889-0847
Practice Address - Fax:541-889-0849
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD11632207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID845765153Medicaid
OR239335Medicaid
OR239335Medicaid
ID845765153Medicaid
B63492Medicare UPIN