Provider Demographics
NPI:1902036320
Name:JAMES A. AUERBACH, M.D., P.C.
Entity Type:Organization
Organization Name:JAMES A. AUERBACH, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:AUERBACH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-363-0524
Mailing Address - Street 1:4747 SKYLINE RD S
Mailing Address - Street 2:SUITE 190
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97306-4200
Mailing Address - Country:US
Mailing Address - Phone:503-363-0524
Mailing Address - Fax:503-363-0542
Practice Address - Street 1:4747 SKYLINE RD S
Practice Address - Street 2:SUITE 190
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97306-4200
Practice Address - Country:US
Practice Address - Phone:503-363-0524
Practice Address - Fax:503-363-0542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-20
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty