MEDICARE: JOHN C STIGER D.O.

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	207Q00000X	Family Medicine Physician	DO09114	OR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	080144666	OTHER	OR	RAILROAD MEDICARE

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
2	300793101	OTHER	OR	REGENCE BLUE CROSS
4	332840204	OTHER	OR	CIGNA
5	4100832	OTHER	OR	AETNA INS
6	A003	OTHER	OR	TRICARE

General Provider Information

NPI Number	:	1659361517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN C STIGER D.O.

Provider Business Mailing Address
First Line	:	15195 SE THORNTON DR
Second Line	:
City	:	MILWAUKIE
State	:	OR
Zip	:	97267-2551
Country	:	US
Telephone Number	:	503-653-9767
Fax Number	:

Provider Business Practice Location Address
First Line	:	15195 SE THORNTON DR
Second Line	:
City	:	MILWAUKIE
State	:	OR
Zip	:	97267-2551
Country	:	US
Telephone Number	:	503-653-9767
Fax Number	:

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

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	01/25/2010

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Directions to “ JOHN C STIGER D.O.” Practice Location

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