MEDICARE: DR. AARON TODD OVERMAN PH.D.

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	103TC0700X	Clinical Psychologist	1582	OR
2	103TC2200X	Clinical Child & Adolescent Psychologist	1582	OR

General Provider Information

NPI Number	:	1982793170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AARON TODD OVERMAN PH.D.

Provider Business Mailing Address
First Line	:	14760 SW JENSHIRE LN
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97223-5732
Country	:	US
Telephone Number	:	503-349-9982
Fax Number	:	503-659-1994

Provider Business Practice Location Address
First Line	:	880 82ND DR
Second Line	:
City	:	GLADSTONE
State	:	OR
Zip	:	97027-1803
Country	:	US
Telephone Number	:	503-659-5515
Fax Number	:	509-659-1994

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	09/11/2025

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