Provider Demographics
NPI:1255718300
Name:CAGIGAS, ADRIAN (ATC,AT/L)
Entity type:Individual
Prefix:MR
First Name:ADRIAN
Middle Name:
Last Name:CAGIGAS
Suffix:
Gender:M
Credentials:ATC,AT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13219 NW 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98685-2924
Mailing Address - Country:US
Mailing Address - Phone:503-310-8164
Mailing Address - Fax:
Practice Address - Street 1:7703 NE 72ND AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98661-1634
Practice Address - Country:US
Practice Address - Phone:360-256-1510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-28
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAA1 601276352255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer