OrganizationActive
Christian Fauerso
NPI 1124625561 · Mental Health Clinic/Center (Including Community Mental Health Center) · Salem, OR
Provider details
- NPI number
- 1124625561
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Authorized official
- Christian Fauerso, Owner
Practice location
2493 State St
Salem, OR 97301-4543
Phone: (503) 610-5756
Fax: (971) 239-4273
Mailing address
2493 State St
Salem, OR 97301-4543
Registry dates
- Enumerated
- 2020-10-08
- Last updated
- 2020-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.