MEDICARE: CHRISTOPHER S BARKER LCSW

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
1	1041C0700X	Clinical Social Worker	L17776	OR

General Provider Information

NPI Number	:	1790159309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER S BARKER LCSW

Provider Business Mailing Address
First Line	:	1300 N BAYSHORE DR STE 202
Second Line	:
City	:	COOS BAY
State	:	OR
Zip	:	97420-2526
Country	:	US
Telephone Number	:	541-756-6232
Fax Number	:

Provider Business Practice Location Address
First Line	:	1890 WAITE ST STE 1
Second Line	:
City	:	NORTH BEND
State	:	OR
Zip	:	97459-1229
Country	:	US
Telephone Number	:	541-756-6232
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2015
Last Update Date	:	03/05/2026

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