Healthcare Provider Details

I. General information

NPI: 1720126964
Provider Name (Legal Business Name): AUBURN VALLEY PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 N DIVISION ST PLAZA 2, SUITE 2
AUBURN WA
98001-4939
US

IV. Provider business mailing address

202 N DIVISION ST PLAZA 2, SUITE 2
AUBURN WA
98001-4939
US

V. Phone/Fax

Practice location:
  • Phone: 253-876-0760
  • Fax: 253-876-0771
Mailing address:
  • Phone: 253-876-0760
  • Fax: 253-876-0771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. BRUCE ORIEL
Title or Position: OWNER
Credential: M.D.
Phone: 253-876-0760