Individual
MARK BRAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 SERENITY LN, COBURG, OR 97408-9350
(541) 687-1110
Mailing address
1332 LAWRENCE ST APT 1, EUGENE, OR 97401-3841
(503) 764-7926
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-21-596
OR
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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