MEDICARE: MRS. ERIN ELIZABETH RIGHTER PA-C, MPAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA153096	OR

General Provider Information

NPI Number	:	1184925778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERIN ELIZABETH RIGHTER PA-C, MPAS

Provider Business Mailing Address
First Line	:	2643 NW RALEIGH ST UNIT 32
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97210-2777
Country	:	US
Telephone Number	:	406-581-7783
Fax Number	:

Provider Business Practice Location Address
First Line	:	2643 NW RALEIGH ST UNIT 32
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97210-2777
Country	:	US
Telephone Number	:	406-581-7783
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/12/2010
Last Update Date	:	12/28/2021

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