Individual
NATHAN R BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
37830 KELLY RD, SCIO, OR 97374-9710
(503) 606-6679
Mailing address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-6106
(503) 277-9640
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
01/09/2025
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