Individual
MICHAEL A. MAURER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1046 W 6TH AVE, EMERGENCY DEPARTMENT, ALBANY, OR 97321
(503) 926-2244
Mailing address
PO BOX 2065, SEATTLE, WA 98111-2065
(888) 633-0083
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD24564
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059297000
BLUE CROSS/BLUE SHIELD
OR
01
—
059297000
BC/BS OF OREGON
—
01
—
134057
WASHINGTON L&I
—
01
—
187366
WASHINGTON L & I
WA
05
—
227442
—
OR
05
—
8398547
—
WA
01
—
8938590
WASHINGTON CRIME VICTIMS
WA
01
—
H46654
PROVIDENCE HEALTH PLANS
—
01
—
P00138951
RAILROAD MEDICARE
—
Enumeration date
04/06/2006
Last updated
06/29/2010
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