Provider Demographics
NPI:1053203869
Name:BARAKAT SIEL VENTURES LLC
Entity type:Organization
Organization Name:BARAKAT SIEL VENTURES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SUZETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARAKAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD MPH
Authorized Official - Phone:503-459-3323
Mailing Address - Street 1:207 E 5TH AVE STE 247
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-0003
Mailing Address - Country:US
Mailing Address - Phone:503-459-3323
Mailing Address - Fax:
Practice Address - Street 1:207 E 5TH AVE STE 247
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-0003
Practice Address - Country:US
Practice Address - Phone:503-459-3323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health