Individual
TIFFANY PETTERBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5289 NE ELAM YOUNG PKWY STE 150, HILLSBORO, OR 97124-7551
(971) 353-4925
(833) 450-6378
Mailing address
5289 NE ELAM YOUNG PKWY STE 150, HILLSBORO, OR 97124-7551
(971) 353-4925
(833) 450-6378
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
—
363A00000X
Physician Assistant
Primary
PA221939
OR
Other
Enumeration date
05/16/2018
Last updated
11/06/2024
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