Provider Demographics
NPI:1821286402
Name:SEARS, BARRY KIM (DC)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:KIM
Last Name:SEARS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2935 MARINE DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:ASTORIA
Mailing Address - State:OR
Mailing Address - Zip Code:97103-2831
Mailing Address - Country:US
Mailing Address - Phone:503-325-3311
Mailing Address - Fax:503-325-9135
Practice Address - Street 1:2935 MARINE DR
Practice Address - Street 2:SUITE B
Practice Address - City:ASTORIA
Practice Address - State:OR
Practice Address - Zip Code:97103-2831
Practice Address - Country:US
Practice Address - Phone:503-325-3311
Practice Address - Fax:503-325-9135
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OR27-1583111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner