Individual provider · NPI-1

Shannon Rose Aaron, CSWA

Social Worker, Clinical · Portland, OR

NPI number1265005037
StatusActive
Last updated in NPPESSep 4, 2024

Details

NPI
1265005037
Entity type
Individual (NPI-1)
Name
Shannon Rose Aaron
Credential
CSWA
Sex
Female
Sole proprietor
No
Enumeration date
Jul 20, 2021
Certification date
Sep 4, 2024
Last updated
Sep 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalA13947ORYes
1041C0700X Social Worker, Clinical––

Practice location

10350 N Vancouver Way # 5166
Portland, OR 97217

Phone 503-217-4030

Mailing address

2000 Ne 42nd Ave # 1163
Portland, OR 97213-1399

Phone 503-298-6691

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