Provider Demographics
NPI:1346587342
Name:AUGER, JULES JOHN (DMIN)
Entity Type:Individual
Prefix:DR
First Name:JULES
Middle Name:JOHN
Last Name:AUGER
Suffix:
Gender:M
Credentials:DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4292 WOODSIDE CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-7204
Mailing Address - Country:US
Mailing Address - Phone:503-522-1462
Mailing Address - Fax:
Practice Address - Street 1:833 SW 11TH AVE STE 424
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-2118
Practice Address - Country:US
Practice Address - Phone:503-522-1462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-10
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORTO233101YP1600X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral