Provider Demographics
NPI:1548865058
Name:AIGER, REBECCA LEA
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:LEA
Last Name:AIGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 N 17TH ST
Mailing Address - Street 2:
Mailing Address - City:SAINT HELENS
Mailing Address - State:OR
Mailing Address - Zip Code:97051-1708
Mailing Address - Country:US
Mailing Address - Phone:503-366-6584
Mailing Address - Fax:503-397-3290
Practice Address - Street 1:125 N 17TH ST
Practice Address - Street 2:
Practice Address - City:SAINT HELENS
Practice Address - State:OR
Practice Address - Zip Code:97051-1708
Practice Address - Country:US
Practice Address - Phone:503-366-6584
Practice Address - Fax:503-397-3290
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator