Provider Demographics
NPI:1053467985
Name:AULD, BRIAN MURRAY (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:MURRAY
Last Name:AULD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3621 ELDERBERRY DR S
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-4054
Mailing Address - Country:US
Mailing Address - Phone:503-580-9228
Mailing Address - Fax:
Practice Address - Street 1:3621 ELDERBERRY DR S
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-4054
Practice Address - Country:US
Practice Address - Phone:503-580-9228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD1702207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services