Individual
SEAN AARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1130 SW MORRISON ST STE 619, PORTLAND, OR 97205-2217
(503) 894-9630
Mailing address
1130 SW MORRISON ST STE 619, PORTLAND, OR 97205-2217
(503) 894-9630
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3562
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390200000X
—
UT
Enumeration date
09/17/2018
Last updated
08/01/2023
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