Active NPIIndividual providerSole proprietor

Mark Brauer

Counselor, Addiction (Substance Use Disorder) in Coburg, Oregon

NPI Number1245908631
Practice location
1 Serenity Ln, Coburg, OR 97408-9350
Fax
—
Last updated
September 1, 2021

Mark Brauer is a Counselor, Addiction (Substance Use Disorder) based in Coburg, OR. The NPI number for Mark Brauer is 1245908631 and holds license No. T-21-596 (OR). The current practice location address is 1 Serenity Ln, Coburg, OR 97408-9350 and the office can be reached by phone at 541-687-1110. The NPI was assigned on September 1, 2021 and the record was last updated in NPPES on September 1, 2021.

●Provider Profile Details

NPI Number
1245908631
Provider Name
Mark Brauer
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Enumeration Date
September 1, 2021
Last Update Date
September 1, 2021
Certification Date
September 1, 2021
NPI Status
Active

◉Business Practice Location Address

Address
1 Serenity Ln
Coburg, OR 97408-9350
City
Coburg
State
Oregon
ZIP
97408-9350
Country
US
Phone Number
541-687-1110

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✉Business Mailing Address

Address
1332 Lawrence St Apt 1
Eugene, OR 97401-3841
City
Eugene
State
OR
ZIP
97401-3841
Phone Number
503-764-7926

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Addiction (Substance Use Disorder)101YA0400XYesT-21-596OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Mark Brauer?

The NPI number of Mark Brauer is 1245908631. It was assigned on September 1, 2021 and is currently active in the NPPES registry.

What is the specialty of Mark Brauer?

Mark Brauer is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X) and holds license No. T-21-596 (OR).

Where does Mark Brauer practice?

The practice location is 1 Serenity Ln, Coburg, OR 97408-9350. The office can be reached at 541-687-1110 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245908631 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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