MEDICARE: AUXILIA HEALTH

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1942150719
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUXILIA HEALTH

Provider Business Mailing Address
First Line	:	1336 NW FLANDERS ST # 203
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97209-2645
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1336 NW FLANDERS ST # 203
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97209-2645
Country	:	US
Telephone Number	:	562-800-8001
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	VERONIKA SOLOMON
Credential	:
Telephone Number	:	562-841-1239

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “AUXILIA HEALTH ” Practice Location

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