Individual
DR. AVIVA ZIGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5164
Mailing address
1150 NW QUIMBY ST UNIT 1404, PORTLAND, OR 97209-2491
(503) 516-1110
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD00044976
WA
207P00000X
Emergency Medicine Physician
MD23025
OR
208D00000X
General Practice Physician
Primary
MD23025
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1040634
—
WA
05
—
287416
—
OR
01
—
858543002
REGENCE BC/BS
—
01
—
P00301890
RAILROAD MEDICARE
—
05
—
XPY206193
—
CA
Enumeration date
04/10/2006
Last updated
03/27/2024
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