Physician Compare National (NPI:1396807673)

HEALTHCARE PROVIDER: WILLIAM CHARLES BARTH M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1396807673
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6305031444
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101115000505
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BARTH
	Individual professional last name
Provider First Name	WILLIAM
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OREGON HEALTH & SCIENCES UNIV SCHOOL OF DENTISTRY
	Individual professional's medical school
Graduation Year	1989
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1230 DIVISION ST
	Group Practice or individual's line 1 address
City	OREGON CITY
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	970451556
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	380038
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	380061
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PROVIDENCE PORTLAND MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y