MEDICARE: MS. PATRICIA NEAL AUERBACH R.N.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		OR

General Provider Information

NPI Number	:	1609962844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PATRICIA NEAL AUERBACH R.N.

Provider Business Mailing Address
First Line	:	821 SAGINAW ST S
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-4121
Country	:	US
Telephone Number	:	503-589-4046
Fax Number	:	503-362-9671

Provider Business Practice Location Address
First Line	:	821 SAGINAW ST S
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-4121
Country	:	US
Telephone Number	:	503-589-4046
Fax Number	:	503-362-9671

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	07/08/2007

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