Individual
DR. AUDREY T TRAINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
665 WINTER ST SE, SALEM, OR 97301-3919
(503) 561-5634
Mailing address
PO BOX 2505, SALEM, OR 97308-2505
(888) 828-3198
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO24811
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015388000
BCBS
—
01
—
0187365
WA L&I
—
01
—
274975
MARION POLK CHP
—
05
—
274975
—
OR
05
—
8398554
—
WA
01
—
8938592
WA CRIME VICTIMS
—
01
—
A065
CHAMPUS
—
01
—
G09751
GROUP HEALTH
—
01
—
P00779894
RR MEDICARE
—
05
—
XYP200908
—
CA
Enumeration date
06/12/2006
Last updated
04/08/2010
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