Provider Demographics
NPI:1659051878
Name:MCCHRISTIAN, AARON
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:MCCHRISTIAN
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 1:9735 SW SHADY LN STE 104
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-5481
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9375 SW SHADY LANE
Practice Address - Street 2:SUITE 104
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-5434
Practice Address - Country:US
Practice Address - Phone:310-310-2931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORABA-IN-10233409106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician