Provider Demographics
NPI:1548204829
Name:RIGGS, JANE A (FNP)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:A
Last Name:RIGGS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N MONROE ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-4243
Mailing Address - Country:US
Mailing Address - Phone:541-686-1427
Mailing Address - Fax:541-341-1693
Practice Address - Street 1:1162 WILLAMETTE ST
Practice Address - Street 2:ATTN: CAROL CRAYS
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3568
Practice Address - Country:US
Practice Address - Phone:541-687-6373
Practice Address - Fax:541-434-3164
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR276312Medicaid
132812Medicare ID - Type Unspecified
OR276312Medicaid