Provider Demographics
NPI:1003909326
Name:RIGGERS, MARTHA (MD)
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:
Last Name:RIGGERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 116TH AVE NE STE B
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3817
Mailing Address - Country:US
Mailing Address - Phone:425-285-6900
Mailing Address - Fax:
Practice Address - Street 1:3080 148TH AVE SE
Practice Address - Street 2:SUITE 115
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-6420
Practice Address - Country:US
Practice Address - Phone:425-378-8190
Practice Address - Fax:425-649-1523
Is Sole Proprietor?:No
Enumeration Date:2006-09-30
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00035963207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0183991OtherLABOR & INDUSTRY NUMBER
WA4849RIOtherREGENCE RIDER NUMBER
WA8229015Medicaid
WA4849RIOtherREGENCE RIDER NUMBER
WAG74757Medicare UPIN