AARON ANNIS
Organization (NPI-2)
Active
Preferred Provider Organization
Provider Information
- NPI Number
1306104484- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 111 SW COLUMBIA ST STW100, PORTLAND, OR, 972015814
- Phone
- (503) 222-0551
Specialties & Taxonomies
Preferred Provider Organization
Primary License: OR #AC0817