MEDICARE: JAMES A. AUERBACH, M.D., P.C.

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1902036320
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES A. AUERBACH, M.D., P.C.

Provider Business Mailing Address
First Line	:	4747 SKYLINE RD S
Second Line	:	SUITE 190
City	:	SALEM
State	:	OR
Zip	:	97306-4200
Country	:	US
Telephone Number	:	503-363-0524
Fax Number	:	503-363-0542

Provider Business Practice Location Address
First Line	:	4747 SKYLINE RD S
Second Line	:	SUITE 190
City	:	SALEM
State	:	OR
Zip	:	97306-4200
Country	:	US
Telephone Number	:	503-363-0524
Fax Number	:	503-363-0542

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMES A. AUERBACH
Credential	:	M.D.
Telephone Number	:	503-363-0524

Provider Enumeration Date	:	07/20/2009
Last Update Date	:	08/28/2009

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