Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0120X | Pediatric Surgery | A53689 | CA |
Y | 2086S0120X | Pediatric Surgery | MD22941 | OR |
NPI | 1205934866 |
---|---|
Provider Name | Dr. Andrew Frank Zigman |
First Address | Portland, OR 97219-8293 |
Second Address | Portland, OR 97225-6652 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 04/02/2022 |