Healthcare Provider Details

I. General information

NPI: 1205508041
Provider Name (Legal Business Name): GINA ANDREASON BAUER ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2021
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date: 03/31/2022
Reactivation Date: 09/16/2022

III. Provider practice location address

311 W 13TH AVE
EUGENE OR
97401-3402
US

IV. Provider business mailing address

171 LAWRENCE ST
EUGENE OR
97401-2221
US

V. Phone/Fax

Practice location:
  • Phone: 541-636-3079
  • Fax:
Mailing address:
  • Phone: 541-224-6606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number4414
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: