IndividualActive
Aidan Derenne, MD
NPI 1003886805 · Pediatric Adolescent Medicine Physician · Vancouver, WA
Provider details
- NPI number
- 1003886805
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD00037036 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
505 Ne 87th Ave
Ste 120
Vancouver, WA 98664-1989
Phone: (360) 892-1635
Fax: (360) 892-3146
Approximate (ZIP-level) locationGet directions
Mailing address
505 Ne 87th Ave
Vancouver, WA 98664-1989
Registry dates
- Enumerated
- 2006-01-24
- Last updated
- 2007-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.