Kirk William Austbo, R.N., B.S.N.

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

Practice address

1911 Hazel St.
Medford, OR 97504

Phone

(541) 734-3950

Fax

(541) 734-3960

NPI assigned

Apr 25, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285853341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 OAK ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201266",
            "telephone_number": "541-282-3970",
            "fax_number": "541-734-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 HAZEL ST.",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "541-734-3950",
            "fax_number": "541-734-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTBO",
        "first_name": "KIRK",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "R.N., B.S.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Lynn Augino
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• Ashley Auspelmyer, PA-C
• Janis Rose Austermuehle, NCC, LPC
• Gina E Austin, RN
• Leslie Austin, PSS, CRM
• Wendy Palma Austin, MS
• Authentic Hand Therapy LLC

• Psychiatric/Mental Health Registered Nurse in Medford, OR
• Providers in Medford, OR by specialty
• Psychiatric/Mental Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.