Provider Demographics
NPI:1669621611
Name:AICHELE, CHRISTOPHER HOWARD (ARNP)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:HOWARD
Last Name:AICHELE
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6445 N GREELEY AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-5023
Mailing Address - Country:US
Mailing Address - Phone:360-882-2778
Mailing Address - Fax:360-604-1676
Practice Address - Street 1:6445 N GREELEY AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-5023
Practice Address - Country:US
Practice Address - Phone:503-283-6607
Practice Address - Fax:503-285-3195
Is Sole Proprietor?:No
Enumeration Date:2008-09-15
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60045553363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8877766Medicare PIN