DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TANNER JOHN BARLOW, LMP

Active Sole Proprietor

Medical Specialty Clinic · VANCOUVER, WA

Registration Details

NPI Number
1245597095
Provider Type
Individual
Gender
Male
NPI Issued
Apr 18, 2012 (14.008550639565 yrs)
Last Updated
Apr 18, 2012
Sole Proprietor
Yes

Practice Information

Address
1610 C ST
SUITE 103
VANCOUVER, WA, 986633400
Browse WA providers · Browse ZIP 98663
Phone
3606940300
Primary Specialty
Medical Specialty Clinic
261QM2500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.