Individual
AYDEN ROBERT FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18765 SW BOONES FERRY RD STE 125150, TUALATIN, OR 97062-8496
(503) 612-1000
Mailing address
1325 SE 15TH AVE, CANBY, OR 97013-6340
(541) 730-9156
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
10258230
OR
Other
Enumeration date
06/18/2025
Last updated
07/15/2025
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