Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | MD1702 | OR |
NPI | 1053467985 |
---|---|
Provider Name | Brian Murray Auld |
First Address | Salem, OR 97302-4054 |
Second Address | Salem, OR 97302-4054 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2007 |
Last Update Date | 08/07/2007 |