Provider Demographics
NPI:1851442685
Name:EHRLICH, ARIEL R (MD)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:R
Last Name:EHRLICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19379 7TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-7504
Mailing Address - Country:US
Mailing Address - Phone:360-394-1000
Mailing Address - Fax:360-394-1035
Practice Address - Street 1:19379 7TH AVE NE
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-7504
Practice Address - Country:US
Practice Address - Phone:360-394-1000
Practice Address - Fax:360-394-1035
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00037801207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8250037Medicaid
WAGAB13601Medicare PIN
WAH09867Medicare UPIN
WAGAB13602Medicare PIN
WAG8872309Medicare PIN
WAGAB13603Medicare PIN
WAGAB13600Medicare PIN
WAGAB13604Medicare PIN