Individual
DR. TIFFANY VANNA QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
13200 SW PACIFIC HWY, TIGARD, OR 97223
(503) 598-2000
Mailing address
13200 SW PACIFIC HWY, TIGARD, OR 97223-4828
(503) 598-2000
(503) 639-0920
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201402959RN
OR
363LF0000X
Family Nurse Practitioner
Primary
201900999NP-PP
OR
Other
Enumeration date
03/21/2017
Last updated
07/12/2019
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