Individual provider · NPI-1

Rita Jane Barry, MD

Family Medicine · Roseburg, OR

NPI number1588097299
StatusActive
Last updated in NPPESApr 16, 2024

Details

NPI
1588097299
Entity type
Individual (NPI-1)
Name
Rita Jane Barry
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Aug 16, 2013
Certification date
Apr 16, 2024
Last updated
Apr 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD195070ORYes
207Q00000X Family Medicine12909AWY

Other names

  • Rita Jane Aulie (Former Name)

Practice location

150 Ne Kenneth Ford Dr
Roseburg, OR 97470-1042

Phone 541-672-9596

Mailing address

150 Ne Kenneth Ford Dr
Roseburg, OR 97470-1042

Phone 959-654-1672

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