NPI 1356538847 · live from the CMS NPI Registry
Sergiy Barsukov, PsyD
Psychologist, Clinical in Newberg, OR. National Provider Identifier 1356538847, active.
NPI record
| NPI | 1356538847 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 502 S Saint Paul Hwy, Newberg, OR 97132 |
| Practice phone | 503-949-4961 |
| Mailing address | Po Box 256, Newberg, OR 97132 |
| Enumerated | September 27, 2007 |
| Last updated | March 9, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 1935 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.