Individual
PATRICK JUSTIN AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 FRONT ST NE, SALEM, OR 97301-1089
(503) 361-2660
Mailing address
PO BOX 13309, SALEM, OR 97309-1309
(503) 361-2660
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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