Provider Demographics
NPI:1255492179
Name:ARNDORFER, MICHAEL HENRY (RPH)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:HENRY
Last Name:ARNDORFER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 BRIAR RD
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-7811
Mailing Address - Country:US
Mailing Address - Phone:360-739-4597
Mailing Address - Fax:360-752-6437
Practice Address - Street 1:2211 RIMLAND DR
Practice Address - Street 2:SUITE 300
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-5664
Practice Address - Country:US
Practice Address - Phone:360-650-8210
Practice Address - Fax:360-752-6437
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH60299021183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist