Individual
AARON NELSON-CAVIGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1535 N WILLIAMS AVE, PORTLAND, OR 97227-1885
(503) 238-2067
(503) 238-2004
Mailing address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
(503) 645-3581
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
22QMHAI003519
OR
175T00000X
Peer Specialist
17-CRM-130
OR
Other
Enumeration date
10/16/2017
Last updated
11/15/2023
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