Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 27-1583 | OR |
NPI | 1821286402 |
---|---|
Provider Name | Dr. Barry Kim Sears |
First Address | Astoria, OR 97103-2831 |
Second Address | Astoria, OR 97103-2831 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2007 |
Last Update Date | 09/10/2007 |