NPI 1295979805 · live from the CMS NPI Registry
Andrew Gaylord Barnes, Ph.D
Psychologist, Clinical in Portland, OR. National Provider Identifier 1295979805, active.
NPI record
| NPI | 1295979805 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 417 Sw 117th Ave Ste 200, Portland, OR 97225 |
| Practice phone | 503-216-1800 |
| Mailing address | Po Box 3158, Portland, OR 97208 |
| Enumerated | April 27, 2009 |
| Last updated | April 26, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Health | 103TH0004X | 1855 (OR) |
| Psychologist, Clinical primary | 103TC0700X | 1855 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.