Provider Demographics
NPI:1376185793
Name:BAUER, VANESSA ANN (PSS DOULA)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:ANN
Last Name:BAUER
Suffix:
Gender:F
Credentials:PSS DOULA
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 1:1033 WAVERLY ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-5272
Mailing Address - Country:US
Mailing Address - Phone:541-525-7382
Mailing Address - Fax:
Practice Address - Street 1:1033 WAVERLY ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-5272
Practice Address - Country:US
Practice Address - Phone:541-525-7382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
175T00000X
OR374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No175T00000XOther Service ProvidersPeer Specialist