NPI 1295331304 · live from the CMS NPI Registry
Aaa Health Services, LLC
Family Medicine in Portland, OR. National Provider Identifier 1295331304, active.
NPI record
| NPI | 1295331304 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 12774 Se Stark St, Portland, OR 97233 |
| Practice phone | 503-567-6077 |
| Enumerated | December 5, 2020 |
| Last updated | December 5, 2020 |
| Authorized official | Volodymyr Golovan, Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.