Individual
JASON ROBERT BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9115 SW OLESON RD STE 100, PORTLAND, OR 97223-6876
(971) 236-0915
Mailing address
9115 SW OLESON RD STE 100, PORTLAND, OR 97223-6876
(971) 236-0915
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
10/28/2014
Last updated
08/31/2020
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