IndividualActive
A Aversano, D.O.
NPI 1952459190 · Neurology Physician · Portland, OR
Provider details
- NPI number
- 1952459190
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- DO10193 (OR)
Practice location
9200 Se 91st Ave
Portland, OR 97266-6756
Phone: (509) 837-4366
Fax: (509) 837-4344
Mailing address
Po Box 2053
Lake Oswego, OR 97035-0632
Registry dates
- Enumerated
- 2007-01-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.