Provider Demographics
NPI:1477019768
Name:GARNER, AARON RAY
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:RAY
Last Name:GARNER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 DOWNING DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-6405
Mailing Address - Country:US
Mailing Address - Phone:105-705-3552
Mailing Address - Fax:
Practice Address - Street 1:5835 N MINNESOTA AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-4638
Practice Address - Country:US
Practice Address - Phone:210-570-5355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX109390OtherTEXAS LICENSE
OR11000OtherOREGON LICENSE