Individual
RICHARD VIGRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
545 NE 47TH AVE, SUITE 215, PORTLAND, OR 97213-2238
(503) 731-2900
Mailing address
1460 NE MEDICAL CENTER DR, BEND, OR 97701-6061
(541) 382-6633
(541) 382-2719
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD15262
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015557
—
OR
05
—
8154981
—
WA
01
—
840126013
REGENCE BS/BC
OR
01
—
P00061815
RR MC
OR
Enumeration date
12/23/2005
Last updated
11/02/2021
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