NPI 1467076265 · live from the CMS NPI Registry
Nathan R Bauer
Psychologist in Salem, OR. National Provider Identifier 1467076265, active.
NPI record
| NPI | 1467076265 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 388 State St Ste 820, Salem, OR 97301 |
| Practice phone | 503-606-6679 |
| Mailing address | 5441 S Macadam Ave Ste R, Portland, OR 97239 |
| Enumerated | June 8, 2020 |
| Last updated | July 22, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 4180 (OR) |
| Counselor, Mental Health | 101YM0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.