Provider Demographics
NPI:1376185793
Name:BAUER, VANESSA ANN (PSS)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:ANN
Last Name:BAUER
Suffix:
Gender:F
Credentials:PSS
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:ANN
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:687 CHESHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-5060
Mailing Address - Country:US
Mailing Address - Phone:541-684-4100
Mailing Address - Fax:541-684-4156
Practice Address - Street 1:687 CHESHIRE AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-5060
Practice Address - Country:US
Practice Address - Phone:541-684-4100
Practice Address - Fax:541-684-4156
Is Sole Proprietor?:No
Enumeration Date:2019-10-17
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist