Aversano, A P

Aversano, A P is an sole proprietor health care provider with primary practice located at 9200 Se 91St Ave , Portland OR 97266-6756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Aversano, A P can be contacted via phone (509) 837-4366.

Contact Information

Primary practice address
9200 Se 91St Ave Portland OR 97266-6756
Fax: (509) 837-4344
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X DO10193 Oregon

Profile Details

NPI number 1952459190
LBN Legal business name Aversano, A P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952459190 NPPES
Oregon MEDICAID 232405

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