Individual
AARON ANNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC, LMT
Contact information
Practice address
130 NW MILLER AVE, GRESHAM, OR 97030-7226
(503) 665-2344
(503) 665-2337
Mailing address
1133 NW 19TH AVE APT 15, PORTLAND, OR 97209-1532
(503) 939-6160
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
40057
OR
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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