Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD156092 | OR |
N | 207Q00000X | Family Doctor | MD423476 | PA |
N | 2081S0010X | Sports Medicine | MD423476 | PA |
N | 213ES0000X | Sports Medicine | MD423476 | PA |
NPI | 1295799211 |
---|---|
Provider Name | Douglas F Aukerman |
First Address | Corvallis, OR 97339-1189 |
Second Address | Corvallis, OR 97331-8629 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 04/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10008491060001 | (05) | PA |
H57254 | (02) |