Healthcare Provider Details

I. General information

NPI: 1427262401
Provider Name (Legal Business Name): ELIZABETH BARBIERI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 12/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 SW 15TH AVE
PORTLAND OR
97205
US

IV. Provider business mailing address

1305 YORK AVE 6TH FLOOR
NEW YORK NY
10021
US

V. Phone/Fax

Practice location:
  • Phone: 503-274-4994
  • Fax: 503-274-4946
Mailing address:
  • Phone: 646-962-3324
  • Fax: 646-962-0361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberMD29375
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: