Provider Demographics
NPI:1457424350
Name:AARON, MARTHA H (MD)
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:H
Last Name:AARON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4742 LIBERTY RD S
Mailing Address - Street 2:#140
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-5037
Mailing Address - Country:US
Mailing Address - Phone:503-370-4950
Mailing Address - Fax:503-370-4958
Practice Address - Street 1:4747 SKYLINE RD S # 180
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97306-4200
Practice Address - Country:US
Practice Address - Phone:503-370-4950
Practice Address - Fax:503-370-4958
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD233322084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry