Individual
TIFFANY HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1880 LANCASTER DR NE STE 110, SALEM, OR 97305-1065
(503) 395-8614
Mailing address
1880 LANCASTER DR NE STE 110, SALEM, OR 97305-1065
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10032185
OR
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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