Individual
TIFFANY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 MEDICAL CENTER DR STE 200, MEDFORD, OR 97504-4314
(541) 930-7222
Mailing address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
(541) 494-8311
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10014265
OR
Other
Enumeration date
10/25/2020
Last updated
08/18/2023
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