Organization · Type 2 NPI
Christian Fauerso
Mental Health Clinic/Center (Including Community Mental Health Center) · Salem, OR
NPI number
1124625561
Active
Practice location
2493 State St
Salem, OR 97301-4543
Fax (971) 239-4273
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
3 other providers at this address
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About NPI 1124625561
Christian Fauerso's National Provider Identifier is 1124625561, issued on Oct 8, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Salem, OR. The record was last updated on Oct 8, 2020.