Provider Demographics
NPI:1215207378
Name:AOM ORIENTAL HEALTH
Entity Type:Organization
Organization Name:AOM ORIENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ARAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVENDOSKY
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:971-269-4191
Mailing Address - Street 1:16004 SW TUALATIN SHERWOOD RD #232
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:OR
Mailing Address - Zip Code:97140
Mailing Address - Country:US
Mailing Address - Phone:503-236-3925
Mailing Address - Fax:
Practice Address - Street 1:16115 SW 1ST ST STE 202
Practice Address - Street 2:SHERWOOD, OR 97140
Practice Address - City:SHERWOOD
Practice Address - State:OR
Practice Address - Zip Code:97140-9259
Practice Address - Country:US
Practice Address - Phone:971-269-4191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center