Healthcare Provider Details

I. General information

NPI: 1093704959
Provider Name (Legal Business Name): JAIME ARANDA-MICHEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 02/10/2021
Certification Date: 02/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 NE 87TH AVE STE 301
VANCOUVER WA
98664-1965
US

IV. Provider business mailing address

3303 SW BOND AVE STE 6D
PORTLAND OR
97239-4501
US

V. Phone/Fax

Practice location:
  • Phone: 360-514-7374
  • Fax: 360-514-7384
Mailing address:
  • Phone: 503-494-4373
  • Fax: 503-418-4189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD175007
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD175007
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code207RT0003X
TaxonomyTransplant Hepatology Physician
License NumberMD175007
License Number StateOR
# 4
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD60316902
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: