Basic Information
| Provider Information | |||||||||
| NPI: | 1396273561 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SIGLER | ||||||||
| FirstName: | ALISON | ||||||||
| MiddleName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 900 E MAIN ST | ||||||||
| Address2: | |||||||||
| City: | MEDFORD | ||||||||
| State: | OR | ||||||||
| PostalCode: | 975047136 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5418427704 | ||||||||
| FaxNumber: | 5418427640 | ||||||||
| Practice Location | |||||||||
| Address1: | 19 MYRTLE ST | ||||||||
| Address2: | |||||||||
| City: | MEDFORD | ||||||||
| State: | OR | ||||||||
| PostalCode: | 975047337 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5418427747 | ||||||||
| FaxNumber: | 5418427637 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/31/2017 | ||||||||
| LastUpdateDate: | 05/17/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/17/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | RPH0014942 | OR | N | Pharmacy Service Providers | Pharmacist | 1835P1200X | RPH0014942 | OR | N | Pharmacy Service Providers | Pharmacist | Pharmacotherapy | 1835P2201X | RPH0014942 | OR | N | 1835P0018X | RPH0014942 | OR | Y | Pharmacy Service Providers | Pharmacist | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
ID Information
| ID | Type | State | Issuer | Description | RPH-0014942 | 01 | OR | PHARMACIST LICENSE NUMBER FOR STATE OF OREGON | OTHER |