| Doctor Name: | MR. DAVID R BAUER |
| NPI Number: | 1013129899 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMFT |
| License Number: | T0241 |
| Business Practice Address: | 1600 S Main St Lebanon, OR - 973553109 |
| Business Phone Number: | 5414515932 |
| Business Fax Number: | 5412585704 |
| Mailing Address: | 1600 S Main St, LEBANON |
| State: | OR |
| Postal Code: | 973553109 |
| Phone Number: | 5414515932 |
| Fax Number: | 5412585704 |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | T0241 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |