Individual provider · Type 1 NPI

Octavio Garcia Barba, PHYSICIAN ASSISTANT

Surgical Physician Assistant · Salem, OR

NPI number 1366264897 Active

Practice location

1600 State St
Salem, OR 97301-4257

Mailing address

1552 Greyback Ct NW
Salem, OR 97304-2077

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant 363AS0400XNone listed
Surgical Physician Assistant Primary 363AS0400XPA222906 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1366264897

Octavio Garcia Barba, PHYSICIAN ASSISTANT's National Provider Identifier is 1366264897, issued on Oct 28, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Salem, OR. The record was last updated on Aug 20, 2025.