Individual
TIFFANY A WELDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
(541) 858-8167
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
(541) 858-8167
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
200141502RN
OR
Other
Enumeration date
08/10/2018
Last updated
06/11/2019
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