Individual
TIFFANY MARIE PALANIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3995 MARCOLA RD, SPRINGFIELD, OR 97477-7948
(541) 726-1465
Mailing address
3995 MARCOLA RD, SPRINGFIELD, OR 97477-7948
(541) 726-1465
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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