Individual
AARON BLAKE LYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5050 NE HOYT ST STE 611, PORTLAND, OR 97213-2990
(503) 215-8699
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD172034
OR
Other
Enumeration date
05/16/2011
Last updated
03/19/2021
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