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Individual

AARON ANDREW COLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3415 POWELL BOULEVARD, PORTLAND, OR 97202
(503) 205-4335
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
103TP0814X
Psychoanalysis Psychologist
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
02/21/2012
Last updated
02/21/2012
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