Barletta, Gina-Marie

Barletta, Gina-Marie is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatric Nephrology is her primary health care specialty. Barletta, Gina-Marie can be contacted via phone (503) 494-7327.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011
Phone: (503) 494-7327
Fax: (503) 418-6718
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD219029 Oregon
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 4301076436 Michigan
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 43741 Arizona
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X MD219029 Oregon

Profile Details

NPI number 1417921131
LBN Legal business name Barletta, Gina-Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Apr 10th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417921131 NPPES
Arizona MEDICAID 580589

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