NPI 1265005037 · live from the CMS NPI Registry
Shannon Rose Aaron, CSWA
Social Worker, Clinical in Portland, OR. National Provider Identifier 1265005037, active.
NPI record
| NPI | 1265005037 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 10350 N Vancouver Way # 5166, Portland, OR 97217 |
| Practice phone | 503-217-4030 |
| Mailing address | 2000 Ne 42nd Ave # 1163, Portland, OR 97213 |
| Enumerated | July 20, 2021 |
| Last updated | September 4, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | — |
| Social Worker, Clinical primary | 1041C0700X | A13947 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.