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TIFFANY D BUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2700 SE STRATUS AVE, MCMINNVILLE, OR 97128-8872
(503) 472-6131
Mailing address
2700 SE STRATUS AVE, MCMINNVILLE, OR 97128-8872
(503) 472-6131

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
L000633CRNA
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L000633CRNA
CRNA LICENSE NUMBER
OR
Enumeration date
02/22/2008
Last updated
03/08/2011
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