Provider Demographics
NPI:1740372648
Name:SASAKI, AARON T (MD)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:T
Last Name:SASAKI
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 1:441 30TH ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:OR
Mailing Address - Zip Code:97103-2807
Mailing Address - Country:US
Mailing Address - Phone:503-338-4325
Mailing Address - Fax:503-338-2903
Practice Address - Street 1:441 30TH ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:OR
Practice Address - Zip Code:97103-2807
Practice Address - Country:US
Practice Address - Phone:503-338-4325
Practice Address - Fax:503-338-2903
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD26759207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine