Individual
TIFFANIE NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 5TH ST, BROOKINGS, OR 97415-9702
(888) 873-4221
Mailing address
500 5TH ST, BROOKINGS, OR 97415-9702
(888) 873-4221
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
252742
OR
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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