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Individual

TIFFANY M CRANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
25647 REDWOOD HWY, CAVE JUNCTION, OR 97523-9332
(541) 592-4111
(541) 592-3916
Mailing address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 472-4777

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201610044NP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500720534
OR
Enumeration date
02/01/2017
Last updated
07/11/2024
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