Basic Information
| Provider Information | |||||||||
| NPI: | 1558526038 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BOREN | ||||||||
| FirstName: | AARON | ||||||||
| MiddleName: | NICKOLAS | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6950 NE CAMPUS WAY | ||||||||
| Address2: | |||||||||
| City: | HILLSBORO | ||||||||
| State: | OR | ||||||||
| PostalCode: | 971245611 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5039522167 | ||||||||
| FaxNumber: | 5039522267 | ||||||||
| Practice Location | |||||||||
| Address1: | 6902 SE LAKE RD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | MILWAUKIE | ||||||||
| State: | OR | ||||||||
| PostalCode: | 972672148 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5036590930 | ||||||||
| FaxNumber: | 5036543846 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/23/2008 | ||||||||
| LastUpdateDate: | 04/29/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | D9149 | OR | Y | Dental Providers | Dentist |
No ID Information.