Jack Dean Barr

NPI #1952074619 in Creswell, Oregon

Provider Information

NPI Number: 1952074619
Entity Type: Individual
Name: Jack Dean Barr
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 28, 2021
Last Updated: Jul 28, 2021

Practice Location

Address: 82847 CLOVERDALE RD
City: Creswell
State: Oregon
ZIP Code: 97426-9477
Phone: (503) 757-6819

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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