MEDICARE: MARTHA H AARON MD

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	2084P0800X	Psychiatry Physician	MD23332	OR
2	2084P0804X	Child & Adolescent Psychiatry Physician	MD23332	OR

General Provider Information

NPI Number	:	1457424350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA H AARON MD

Provider Business Mailing Address
First Line	:	4742 LIBERTY RD S
Second Line	:	#140
City	:	SALEM
State	:	OR
Zip	:	97302-5037
Country	:	US
Telephone Number	:	503-370-4950
Fax Number	:	503-370-4958

Provider Business Practice Location Address
First Line	:	4747 SKYLINE RD S # 180
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97306-4200
Country	:	US
Telephone Number	:	503-370-4950
Fax Number	:	503-370-4958

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	02/20/2009

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