Provider Demographics
NPI:1619222072
Name:BARRETT, RICHARD PAUL (DMD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:PAUL
Last Name:BARRETT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15455 NW GREENBRIER PKWY STE 235
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97006-8116
Mailing Address - Country:US
Mailing Address - Phone:503-690-9667
Mailing Address - Fax:503-533-7010
Practice Address - Street 1:15455 NW GREENBRIER PKWY STE 235
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006-8116
Practice Address - Country:US
Practice Address - Phone:503-690-9667
Practice Address - Fax:503-533-7010
Is Sole Proprietor?:No
Enumeration Date:2012-07-20
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD97451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice