Provider Demographics
NPI:1629378286
Name:ZIGLER, RHANDA M (RN)
Entity Type:Individual
Prefix:
First Name:RHANDA
Middle Name:M
Last Name:ZIGLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:RHANDA
Other - Middle Name:M
Other - Last Name:PRESCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5106 SE BROOKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97222-4114
Mailing Address - Country:US
Mailing Address - Phone:503-577-3470
Mailing Address - Fax:
Practice Address - Street 1:5106 SE BROOKSIDE DR
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222-4114
Practice Address - Country:US
Practice Address - Phone:503-577-3470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR099000181163W00000X, 163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency
No163W00000XNursing Service ProvidersRegistered Nurse