Individual
AARON ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11995 SE SUNNYSIDE RD, HAPPY VALLEY, OR 97015-9312
(888) 227-3312
(971) 282-0083
Mailing address
PO BOX 2928, PORTLAND, OR 97208-2928
(425) 207-5155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA225094
PHYSICIAN ASSISTANT LICENSE
OR
Enumeration date
08/05/2021
Last updated
07/30/2025
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