Trainer, Audrey T

Trainer, Audrey T is an individual health care provider with primary practice located at 665 Winter St Se , Salem OR 97301-3919. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Trainer, Audrey T can be contacted via phone (503) 561-5634.

Contact Information

Primary practice address
665 Winter St Se Salem OR 97301-3919
Phone: (503) 561-5634
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DO24811 Oregon

Profile Details

NPI number 1124060306
LBN Legal business name Trainer, Audrey T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Apr 8th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124060306 NPPES
Washington MEDICAID 8398554
Washington Other G09751
Washington Other 274975
Washington Other A065
Washington Other P00779894
Washington MEDICAID XYP200908
Washington Other 8938592
Washington Other 015388000
Washington Other 0187365
Washington MEDICAID 274975
Washington Other G09751

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