Provider Demographics
NPI:1710064423
Name:BARNARD, DOUGLAS ARTHUR I (DC)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:ARTHUR
Last Name:BARNARD
Suffix:I
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1759
Mailing Address - Street 2:
Mailing Address - City:WHITE SALMON
Mailing Address - State:WA
Mailing Address - Zip Code:98672-1759
Mailing Address - Country:US
Mailing Address - Phone:509-493-4000
Mailing Address - Fax:509-493-1462
Practice Address - Street 1:410 JEWET BLVD.
Practice Address - Street 2:
Practice Address - City:WHITE SALMON
Practice Address - State:WA
Practice Address - Zip Code:98672-1759
Practice Address - Country:US
Practice Address - Phone:509-493-4000
Practice Address - Fax:509-493-1462
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAWA3005111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2018372Medicaid
WA2018372Medicaid