Provider Demographics
NPI:1518332634
Name:BIGRIGG, ERIN EVE (LMP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:EVE
Last Name:BIGRIGG
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22701 92ND AVE S APT L305
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-2417
Mailing Address - Country:US
Mailing Address - Phone:206-637-2536
Mailing Address - Fax:
Practice Address - Street 1:11300 ROOSEVELT WAY NE
Practice Address - Street 2:SUITE 201
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-6242
Practice Address - Country:US
Practice Address - Phone:206-306-2494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 60322491174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMA 60322491OtherLMP PROVIDER