Healthcare Provider Details

I. General information

NPI: 1619409968
Provider Name (Legal Business Name): ERSILIA ANGHEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 C ST STE 207
VANCOUVER WA
98663-3400
US

IV. Provider business mailing address

1610 C ST STE 207
VANCOUVER WA
98663-3400
US

V. Phone/Fax

Practice location:
  • Phone: 360-450-4359
  • Fax:
Mailing address:
  • Phone: 360-450-4359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberMD61518614
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: