Physician Compare National (NPI:1114087947)

HEALTHCARE PROVIDER: TRICIA ANN ZIGRANG PHD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1114087947
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799974259
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110113001180
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ZIGRANG
	Individual professional last name
Provider First Name	TRICIA
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1220 SW MORRISON ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 920
	Group Practice or individual's line 2 address
City	PORTLAND
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	972052228
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y