Provider Demographics
NPI:1235719808
Name:NASE, AARON ISAAC
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:ISAAC
Last Name:NASE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15485 NW NORWICH CIR
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97006-5532
Mailing Address - Country:US
Mailing Address - Phone:503-704-7840
Mailing Address - Fax:
Practice Address - Street 1:147 COMMERCIAL ST NE STE 15
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3418
Practice Address - Country:US
Practice Address - Phone:503-589-3112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health