Provider Demographics
NPI:1629693429
Name:BARNES, ADRIENNE (NREMT-P)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:
Last Name:BARNES
Suffix:
Gender:F
Credentials:NREMT-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:961 NW HAYES AVE APT 24
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-4581
Mailing Address - Country:US
Mailing Address - Phone:541-205-9100
Mailing Address - Fax:541-833-6657
Practice Address - Street 1:961 NW HAYES AVE APT 24
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-4581
Practice Address - Country:US
Practice Address - Phone:541-205-9100
Practice Address - Fax:541-833-6657
Is Sole Proprietor?:No
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR146N00000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic