Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | OP60903680 | WA |
NPI | 1063445898 |
---|---|
Provider Name | Mr. Andrew Jason Barker |
First Address | Wenatchee, WA 98801-2028 |
Second Address | Wenatchee, WA 98801-2072 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 26/12/2018 |