Provider Demographics
NPI:1265039457
Name:BOHN, AARON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:
Last Name:BOHN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6025 JEAN RD
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-5307
Mailing Address - Country:US
Mailing Address - Phone:503-303-7373
Mailing Address - Fax:
Practice Address - Street 1:6025 JEAN RD
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-5307
Practice Address - Country:US
Practice Address - Phone:503-303-7373
Practice Address - Fax:503-344-4996
Is Sole Proprietor?:No
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0012678183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist