Provider Demographics
NPI:1578772935
Name:PARTSAFAS, AARON WAYNE (MD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:WAYNE
Last Name:PARTSAFAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3158
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-3158
Mailing Address - Country:US
Mailing Address - Phone:541-732-8388
Mailing Address - Fax:
Practice Address - Street 1:940 ROYAL AVE
Practice Address - Street 2:SUITE 420
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-6194
Practice Address - Country:US
Practice Address - Phone:541-732-8388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD293182086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500609977Medicaid
OR500609977Medicaid