Barry, John Maynard

Barry, John Maynard is an individual health care provider with primary practice located at 3303 Sw Bond Ave , Portland OR 97239-4501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Transplant Surgery. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Barry, John Maynard can be contacted via phone (503) 346-1500.

Contact Information

Primary practice address
3303 Sw Bond Ave Portland OR 97239-4501
Phone: (503) 346-1500
Fax: (503) 346-1501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD07331 Oregon
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X MD07331 Oregon

Profile Details

NPI number 1609882281
LBN Legal business name Barry, John Maynard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Mar 13th, 2014 - about 12 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 1609882281 NPPES
Oregon MEDICAID 246389

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