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General NPI Number Information
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NPI Number | 1356185656
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Entity Type | Organization
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Legal Business Name | ARIA ALESSIA PEDIATRIC CLINIC, LLC
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Dates
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Enumeration Date | 06/21/2024
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 434 NW 6TH AVE STE 203
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City | PORTLAND
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State | OR
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Zip | 97209-3651
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Country | US
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Telephone | 503-610-3607
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Fax |
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Provider Business Mailing Address
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Address Line | 434 NW 6TH AVE STE 203
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City | PORTLAND
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State | OR
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Zip | 97209-3651
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SAATVIK ARYA
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Credential | BS
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Telephone | 503-610-3607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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