Aidan H Derenne
MD | Pediatric Adolescent Medicine | Male
Aidan H Derenne, MD is a Vancouver, Washington based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Aidan H Derenne is
505 Ne 87th Ave, Ste 120, Vancouver, Washington - 98664-1989. He can be contacted on phone at
360-892-1635 and fax number 360-892-3146.
Aidan H Derenne is a sole proprietor of his business.
NPI number (Unique professional ID) for Aidan H Derenne is
1003886805 which was assigned by NPPES on 24 Jan, 2006 and it was last updated on 10 Jul, 2007.
Aidan H Derenne license number is
MD00037036 for Pediatrics Adolescent Medicine (2080A0000X) in Washington.
Aidan H Derenne specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Aidan H Derenne basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Aidan H Derenne |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Aidan H Derenne address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 505 Ne 87th Ave, Ste 120
Vancouver, WA, 98664-1989
United States |
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| Phone Number : | 360-892-1635 |
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| Fax Number : | 360-892-3146 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1003886805 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Jan, 2006 |
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| Last Updated On : | 10 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Aidan H Derenne are as mentioned. Primary taxonomy code for Aidan H Derenne, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | MD00037036 | WA |
Legacy Identifiers:
Other legacy medical identifiers of Aidan H Derenne such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1106434 | MEDICAID | WA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 505 Ne 87th Ave, Ste 120
Vancouver, WA, 98664-1989
United States |
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| Phone Number : | 360-892-1635 |
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| Fax Number : | 360-892-3146 |
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Business Location:
Patients can refer following map for directions to
Aidan H Derenne practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.