Individual
MRS. TIFFANY MARIE VALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA CASE MANAGER
Contact information
Practice address
215 N G ST, LAKEVIEW, OR 97630-1417
(541) 947-6021
(541) 219-8114
Mailing address
215 N G ST, LAKEVIEW, OR 97630-1417
(541) 947-6021
(541) 219-8114
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1O1YM0800X
OR
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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