Healthcare Provider Details

I. General information

NPI: 1396273561
Provider Name (Legal Business Name): ALISON SIGLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2017
Last Update Date: 05/17/2022
Certification Date: 05/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 MYRTLE ST
MEDFORD OR
97504-7337
US

IV. Provider business mailing address

900 E MAIN ST
MEDFORD OR
97504-7136
US

V. Phone/Fax

Practice location:
  • Phone: 541-842-7747
  • Fax: 541-842-7637
Mailing address:
  • Phone: 541-842-7704
  • Fax: 541-842-7640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH0014942
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberRPH0014942
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberRPH0014942
License Number StateOR
# 4
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH0014942
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: