Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 22786 | OR |
NPI | 1275516106 |
---|---|
Provider Name | Mr. Trey Rigert |
First Address | Hood River, OR 97031-1565 |
Second Address | Hood River, OR 97031-1565 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2005 |
Last Update Date | 08/07/2007 |