Healthcare Provider Details

I. General information

NPI: 1578479838
Provider Name (Legal Business Name): DARIAN E HAUER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4263 COMMERCIAL ST SE STE 300
SALEM OR
97302-3997
US

IV. Provider business mailing address

410 SE NURSERY AVE
AMITY OR
97101-2803
US

V. Phone/Fax

Practice location:
  • Phone: 503-363-8068
  • Fax:
Mailing address:
  • Phone: 971-917-7976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: