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NPI Code Detail

MEDICARE: CONSTANCE I BARTHEL PA-C

MEDICARE: CONSTANCE I BARTHEL PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA60391373WA
2363AM0700XMedical Physician Assistant001644IA
3363AM0700XMedical Physician AssistantPA60391373WA
4363A00000XPhysician AssistantPA204761OR

General Provider Information

NPI Number : 1548347297
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONSTANCE I BARTHEL PA-C
Provider Business Mailing Address
First Line : PO BOX 2847
Second Line :
City : CORVALLIS
State : OR
Zip : 97339-2847
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 531 N HIGHWAY 101 STE A
Second Line :
City : DEPOE BAY
State : OR
Zip : 97341-9572
Country : US
Telephone Number : 541-765-3265
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 08/13/2021

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Directions to “ CONSTANCE I BARTHEL PA-C” Practice Location

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