Dr Aviva Zigman, MD | |
4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | |
(971) 206-5164 | |
Not Available |
Full Name | Dr Aviva Zigman |
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Gender | Female |
Speciality | General Practice |
Location | 4560 Se International Way Ste 100, Milwaukie, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013970060 | NPI | - | NPPES |
287416 | Medicaid | OR | |
1040634 | Medicaid | WA | |
P00301890 | Other | RAILROAD MEDICARE | |
858543002 | Other | REGENCE BC/BS | |
XPY206193 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | MD23025 (Oregon) | Primary |
207P00000X | Emergency Medicine | MD23025 (Oregon) | Secondary |
207P00000X | Emergency Medicine | MD00044976 (Washington) | Secondary |
Entity Name | Good Shepherd Health Care System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295789667 PECOS PAC ID: 9133033764 Enrollment ID: O20031118000046 |
Entity Name | Cep America Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780647719 PECOS PAC ID: 6608056171 Enrollment ID: O20130123000079 |
Entity Name | Marquis Clinical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710427810 PECOS PAC ID: 2860827821 Enrollment ID: O20200121002375 |
Mailing Address | Practice Location Address |
---|---|
Dr Aviva Zigman, MD 1150 Nw Quimby St Unit 1404, Portland, OR 97209-2491 Ph: (503) 516-1110 | Dr Aviva Zigman, MD 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 Ph: (971) 206-5164 |
Katherine Lopez Sankey, MD General Practice Medicare: Medicare Enrolled Practice Location: 10330 Se 32nd Ave, Ste 205, Milwaukie, OR 97222 Phone: 503-513-8950 | |
Dr. Joyce R Ho, ND General Practice Medicare: Not Enrolled in Medicare Practice Location: 6501 Se King Rd, Milwaukie, OR 97222 Phone: 503-236-7786 |