Healthcare Provider Details

I. General information

NPI: 1003735564
Provider Name (Legal Business Name): OREGON AUTISM CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 SW 6TH AVE STE 1100
PORTLAND OR
97204-1153
US

IV. Provider business mailing address

610 HICKSVILLE RD
FAR ROCKAWAY NY
11691-5221
US

V. Phone/Fax

Practice location:
  • Phone: 720-970-3222
  • Fax: 720-970-4188
Mailing address:
  • Phone: 516-662-5035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: AARON WEINSTEIN
Title or Position: MANAGING MEMBER
Credential:
Phone: 516-662-5035