Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | 1033456 | OR |
N | 225X00000X | Occupational Therapist | 1033456 | OR |
N | 225X00000X | Occupational Therapist | OC006465L | PA |
NPI | 1174566293 |
---|---|
Provider Name | Mr. Jonathan Lindsay Barthel |
First Address | Corvallis, OR 97339-1189 |
Second Address | Corvallis, OR 97330-3785 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 05/11/2020 |