Individual
DR. MARCEA CHRISTINE WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
4900 SE DIVISION ST, PORTLAND, OR 97206-1544
(503) 445-9771
(503) 445-9772
Mailing address
4900 SE DIVISION ST, PORTLAND, OR 97206-1544
(503) 445-9771
(503) 445-9772
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
1582
OR
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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