Individual provider · NPI-1

Aaron Annis, L.Ac, LMT

Acupuncturist · Gresham, OR

NPI number1316028509
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1316028509
Entity type
Individual (NPI-1)
Name
Aaron Annis
Credential
L.Ac, LMT
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 17, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X Acupuncturist40057ORYes

Practice location

130 Nw Miller Ave
Gresham, OR 97030-7226

Phone 503-665-2344 · Fax 503-665-2337

Mailing address

1133 Nw 19th Ave Apt 15
Portland, OR 97209-1532

Phone 503-939-6160

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