Active NPI
Aaron Angel, MD
- Specialist
- Vancouver, WA
National Provider Identifier
1407964232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- WA MD00034630
- Practice address
- 2211 E Mill Plain Blvd
Vancouver, WA 98661-4329 - Phone
- (360) 418-6001
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | WA MD00034630 | WA | Primary |
| Specialist | 174400000X | OR MD17558 | OR |
Addresses
Primary practice location
2211 E Mill Plain Blvd
Vancouver, WA 98661-4329
Mailing address
2732 NE Dunckley St
Portland, OR 97212-1644
Phone (503) 460-0148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OR MD17558 | OR | MD | Specialist |
| WA MD00034630 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407964232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2732 NE DUNCKLEY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972121644",
"telephone_number": "503-460-0148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 E MILL PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986614329",
"telephone_number": "360-418-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGEL",
"first_name": "AARON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "WA MD00034630",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "OR MD17558",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.