Individual
TIFFANY RIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
959 SW RED HILLS DR, DUNDEE, OR 97115-9647
(503) 380-4875
Mailing address
959 SW RED HILLS DR, DUNDEE, OR 97115-9647
(503) 380-4875
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OR
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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