Individual
AARON J SANNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9650 SW NIMBUS AVE, BEAVERTON, OR 97008-7171
(503) 201-0053
Mailing address
1338 SE 61ST PL, HILLSBORO, OR 97123-6789
(503) 201-0053
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12079
OR
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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