Individual
JOHN S. AUERBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCP-INTERN
Contact information
Practice address
1785 NE SANDY BLVD STE 270, PORTLAND, OR 97232-2791
(503) 622-8964
(503) 715-5469
Mailing address
3050 SE DIVISION ST, PORTLAND, OR 97202-1898
(503) 622-8964
(503) 715-5469
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R6055
OR
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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