Aaron Annis, L.AC, LMT

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

40057 Issued in OR

Practice address

130 NW Miller Ave
Gresham, OR 97030-7226

Phone

(503) 665-2344

Fax

(503) 665-2337

NPI assigned

Oct 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aaron Annis

  dba Sattva Health Gallery

  • Preferred Provider Organization
  • Portland, OR
  • NPI 1306104484
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316028509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 NW 19TH AVE APT 15",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091532",
            "telephone_number": "503-939-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 NW MILLER AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307226",
            "telephone_number": "503-665-2344",
            "fax_number": "503-665-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNIS",
        "first_name": "AARON",
        "credential": "L.AC, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "40057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Jeffrey Anderson II, M.D.
• Gloria Jean Andes
• Charlie Irene Andrade
• Andrew Cha D.C PC (Auto Accident & Pain Relief Center-Gresham Chiropractic Center)
• Angela M. Caiazza, PC (Fulfillment Family Therapy)
• Bethy Mae Annsa
• Antara Acupuncture and Herbal Clinic LLC
• Josey Rae Anthony-Moore, CRM,CADC-R
• Adrian Anthony, MD
• Claudia Anukam, OTR/L, MS

• Acupuncturist in Gresham, OR
• Providers in Gresham, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.