Individual
TIFFANY BRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
422 SE 79TH AVE # 204, PORTLAND, OR 97215-1519
(503) 660-3480
Mailing address
150 BEAVERCREEK RD, OREGON CITY, OR 97045-4302
(503) 655-8471
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
R9825
OR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/24/2023
Last updated
10/17/2024
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