Healthcare Provider Details

I. General information

NPI: 1689360695
Provider Name (Legal Business Name): MS. GIANINA PAOLA BARRIONUEVO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2023
Last Update Date: 04/13/2023
Certification Date: 04/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 NW IRVING AVE
BEND OR
97703-2011
US

IV. Provider business mailing address

5371 FERNBANK DR
CONCORD CA
94521-5410
US

V. Phone/Fax

Practice location:
  • Phone: 541-633-4591
  • Fax:
Mailing address:
  • Phone: 925-285-4188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: