NPI 1306104484

Aaron Annis

Organisation Preferred Provider Organization Portland, OR

Practice location

Address: 111 SW Columbia St Stw100, Portland, OR 97201-5814
Phone: (503) 222-0551
Mailing address: 2087 NW Overton St STE 203, Portland, OR 97209-1660

Authorised official

Name: Aaron Annis
Title: Owner/Acupuncturist
Phone: (503) 939-6160

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence AC0817 (OR)

Other Preferred Provider Organization providers in Oregon →

Registry record

NPI: 1306104484
Entity type: Organization
NPI issued: 26 Apr 2012
Record last updated: 26 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.