Provider Demographics
NPI:1255712642
Name:ORTON, ARIANA
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:
Last Name:ORTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1939 NE BROADWAY ST STE B
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-1584
Mailing Address - Country:US
Mailing Address - Phone:503-891-9654
Mailing Address - Fax:503-281-0008
Practice Address - Street 1:1939 NE BROADWAY ST STE B
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-1584
Practice Address - Country:US
Practice Address - Phone:503-891-9654
Practice Address - Fax:503-281-0008
Is Sole Proprietor?:No
Enumeration Date:2015-06-11
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR7207225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist