Individual
TIFFANY JEAN CULBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7959
(503) 494-0022
Mailing address
1256 SE LEANDER ST, HILLSBORO, OR 97123-5199
(541) 231-4975
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201050161NP
OR
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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