MEDICARE: AARON T. SASAKI, MD, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD26759	OR

General Provider Information

NPI Number	:	1154659357
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AARON T. SASAKI, MD, PC

Provider Business Mailing Address
First Line	:	2095 EXCHANGE ST
Second Line	:	SUITE 202
City	:	ASTORIA
State	:	OR
Zip	:	97103-3417
Country	:	US
Telephone Number	:	503-338-4325
Fax Number	:	503-338-2903

Provider Business Practice Location Address
First Line	:	2095 EXCHANGE ST
Second Line	:	SUITE 202
City	:	ASTORIA
State	:	OR
Zip	:	97103-3417
Country	:	US
Telephone Number	:	503-338-4325
Fax Number	:	503-338-2903

Authorized Official
Title or Position	:	OWNER
Name	:	AARON T SASAKI
Credential	:	M.D.
Telephone Number	:	503-338-4325

Provider Enumeration Date	:	11/27/2009
Last Update Date	:	02/03/2011

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