Individual
TIFFANY GENIECE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
351 SW 9TH ST, ONTARIO, OR 97914-2639
(541) 881-7480
(541) 881-7186
Mailing address
351 SW 9TH ST, ONTARIO, OR 97914-2639
(541) 881-7480
(541) 881-7186
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
767
OR
133V00000X
Registered Dietitian
D-525
ID
Other
Enumeration date
02/10/2009
Last updated
02/10/2009
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