Jennifer K Arich, PA-C
Physician Assistant, Surgical in Portland, ME. Individual provider (NPI-1).
NPI number1417196577
StatusActive
Last updated in NPPESApr 4, 2024
Details
- NPI
- 1417196577
- Entity type
- Individual (NPI-1)
- Name
- Jennifer K Arich
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2009
- Certification date
- Apr 4, 2024
- Last updated
- Apr 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA1152 | ME | Yes |
| 363AM0700X | Physician Assistant, Medical | PA001152 | ME |
Practice location
22 Bramhall StDept Of Surgery
Portland, ME 04102-3134
Phone 207-662-4078 · Fax 207-662-6389
Mailing address
22 Bramhall StDept Of Surgery
Portland, ME 04102-3134
Phone 207-662-4078 · Fax 207-662-6389
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