Healthcare Provider Details

I. General information

NPI: 1194039834
Provider Name (Legal Business Name): AUREN C O'CONNELL DNP, ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2010
Last Update Date: 09/13/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 S 4TH AVE
YAKIMA WA
98902-3547
US

IV. Provider business mailing address

201 ALPHA WAY
CLE ELUM WA
98922-1045
US

V. Phone/Fax

Practice location:
  • Phone: 509-453-2900
  • Fax: 509-225-6313
Mailing address:
  • Phone: 509-674-5331
  • Fax: 509-225-6313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP60650646
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60218710
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCG60178269
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: