Sean Aaron, PHD
Individual provider Active NPI Clinical Psychologist · Portland, OR
NPI 1578047403 · NPPES record last updated Aug 1, 2023
Key facts
- NPI
- 1578047403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 3562 (OR)
- Practice address
- 1130 SW Morrison St Ste 619
Portland, OR 97205-2217 - Phone
- (503) 894-9630
- NPI assigned
- Sep 17, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3562 | OR | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3562 | OR | Yes |
Addresses
Primary practice location
1130 SW Morrison St Ste 619
Portland, OR 97205-2217
Mailing address
1130 SW Morrison St Ste 619
Portland, OR 97205-2217
Phone (503) 894-9630
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390200000X | Medicaid | UT |
Other providers in Portland, OR
- Aaron Annis
- Aaron Armbruster DC LLC
- Aaron Buchholz Psychotherapy
- Aaron Pogue, D.M.D., L.L.C.,
- Julian Aaron
- Shannon Rose Aaron
- Aasa-Lisa'S Acupuncture,LLC
- Lisa Aasheim
- Amanda Rae Aatlo
- Paul N Ababio
All providers in Portland, OR · Clinical Psychologist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.