Provider Demographics
NPI:1649544131
Name:BARR, MARY EILEEN (PT)
Entity type:Individual
Prefix:MS
First Name:MARY EILEEN
Middle Name:
Last Name:BARR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10605 SW CITATION DR
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008-0406
Mailing Address - Country:US
Mailing Address - Phone:503-579-5471
Mailing Address - Fax:
Practice Address - Street 1:10605 SW CITATION DR
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-0406
Practice Address - Country:US
Practice Address - Phone:503-579-5471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1730225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist