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General NPI Number Information
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NPI Number | 1407964232
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Entity Type | Individual
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Provider Name | AARON ANGEL MD
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2211 E MILL PLAIN BLVD
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City | VANCOUVER
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State | WA
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Zip | 98661-4329
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Country | US
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Telephone | 360-418-6001
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Fax |
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Provider Business Mailing Address
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Address Line | 2732 NE DUNCKLEY ST
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City | PORTLAND
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State | OR
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Zip | 97212-1644
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Country | US
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Telephone | 503-460-0148
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | WA MD00034630
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | OR MD17558
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License Number State | OR
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