Provider Demographics
NPI:1710559539
Name:FLOYD BARRY, MARGARET (FNTP, MRWP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:FLOYD BARRY
Suffix:
Gender:F
Credentials:FNTP, MRWP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 SE 31ST AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-4068
Mailing Address - Country:US
Mailing Address - Phone:310-562-1115
Mailing Address - Fax:
Practice Address - Street 1:933 SE 31ST AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-4068
Practice Address - Country:US
Practice Address - Phone:310-562-1115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date: