MEDICARE: ALISON B CARRIGG DO

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	20A11097	CA
2	207ND0900X	Dermatopathology Physician	DO166705	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245554211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON B CARRIGG DO

Provider Business Mailing Address
First Line	:	1793 13TH ST SE
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97302-2541
Country	:	US
Telephone Number	:	503-362-8385
Fax Number	:	503-362-8435

Provider Business Practice Location Address
First Line	:	685 EVERGREEN RD
Second Line	:
City	:	WOODBURN
State	:	OR
Zip	:	97071-2910
Country	:	US
Telephone Number	:	503-362-8385
Fax Number	:	503-362-8435

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

Provider Enumeration Date	:	03/19/2010
Last Update Date	:	10/10/2024

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