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Organization

HEALTHY DIRECTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
K. SCOTT TIFFANY (OWNER)
(480) 250-4603
Entity
Organization

Contact information

Practice address
9628 W STATE ST, STAR, ID 83669-5858
(480) 250-4603
Mailing address
3595 HULSEY AVE SE, SALEM, OR 97302-2664
(480) 250-4603

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
11/06/2013
Last updated
11/06/2013
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