Provider Demographics
NPI:1689951162
Name:BIGGE, CAMERON (DC)
Entity Type:Individual
Prefix:
First Name:CAMERON
Middle Name:
Last Name:BIGGE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1809 COMMERCIAL AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-2326
Mailing Address - Country:US
Mailing Address - Phone:360-336-6462
Mailing Address - Fax:
Practice Address - Street 1:1809 COMMERCIAL AVE STE 203
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-2326
Practice Address - Country:US
Practice Address - Phone:360-336-6462
Practice Address - Fax:360-323-2399
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-10
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60244258111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8934975OtherMEDICARE PTAN