Barnes, Gary L

Barnes, Gary L is an sole proprietor health care provider with primary practice located at 760 Sw Madison Ave Ste 103 , Corvallis OR 97333-4589. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Barnes, Gary L can be contacted via phone (541) 752-9826.

Contact Information

Primary practice address
760 Sw Madison Ave Ste 103 Corvallis OR 97333-4589
Fax: (866) 905-8115
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L1688 Oregon

Profile Details

NPI number 1164635314
LBN Legal business name Barnes, Gary L
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2007
Last updated Mar 27th, 2023 - about 3 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 1164635314 NPPES
Oregon Other 844704002 REGENCE BCBSO PROV NO

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