Individual
TIFFANY GIACKINO-BAISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW,
Contact information
Practice address
501 N DIXON ST, PORTLAND, OR 97227-1804
(503) 916-2000
Mailing address
501 N DIXON ST, PORTLAND, OR 97227-1804
(503) 916-2000
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
151885
OR
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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