| NPI Details | |
|---|---|
| NPI | 1083871750 |
| Gender | Female |
| Enumeration Date | 05/20/2008 |
| Last Updated | 01/08/2014 |
| Entity Type | Individual |
| Active | Over 9 years ago |
| Practice Location | |
|---|---|
| 543 W WILSON ST APT C1 COSTA MESA CA, 92627-2460, US |
|
| Phone | (503) 997-9940 |
| Fax | |
| Business Location | |
|---|---|
| 543 W WILSON ST APT C1 COSTA MESA CA, 92627-2460, US |
|
| Phone | (503) 997-9940 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 225X00000X |
| License State | Oregon |
| License Number | 1007458 |
| Remove 1083871750 NPI Number | |
According to our database, Barbara Jo Gossack OTR NPI is 1083871750, taxonomy code is 225X00000X and license number is 1007458, license state is located at Oregon. Barbara Jo Gossack OTR physically located at 543 W Wilson St Apt C1, Costa Mesa CA, 92627-2460. NPI Number Barbara Jo Gossack OTR has the Individual type.
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1083871750 NPI number is provided on an as is basis without warranty of any kind. 1083871750 is maintained by the National Plan & Provider Enumeration System. The contents of Barbara Jo Gossack OTR are for informational purposes only.
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