Individual
JOHN C STIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
15195 SE THORNTON DR, MILWAUKIE, OR 97267-2551
(503) 653-9767
Mailing address
15195 SE THORNTON DR, MILWAUKIE, OR 97267-2551
(503) 653-9767
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO09114
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080144666
RAILROAD MEDICARE
OR
05
—
240523
—
OR
01
—
300793101
REGENCE BLUE CROSS
OR
01
—
332840204
CIGNA
OR
01
—
4100832
AETNA INS
OR
01
—
A003
TRICARE
OR
Enumeration date
10/24/2005
Last updated
01/25/2010
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