Individual
TIFFINEY CORICE NORDBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3200 SE 164TH AVE STE 212, VANCOUVER, WA 98683-1108
(360) 253-3488
Mailing address
3200 SE 164TH AVE STE 212, VANCOUVER, WA 98683-1108
(360) 253-3488
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00019871
WA
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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