Provider Demographics
NPI:1891282307
Name:MERICKEL, AARON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:
Last Name:MERICKEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7931 SW 40TH AVE APT B
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-3598
Mailing Address - Country:US
Mailing Address - Phone:507-779-9499
Mailing Address - Fax:
Practice Address - Street 1:1123 N HAYDEN MEADOWS DR
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-7547
Practice Address - Country:US
Practice Address - Phone:503-205-6661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-19
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0013818183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist