Individual
MRS. TIFFANY MICHELE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 BROADWAY ST NE STE 403, SALEM, OR 97301-1420
(503) 363-8068
(503) 390-3161
Mailing address
1300 BROADWAY ST NE STE 403, SALEM, OR 97301-1420
(503) 363-8068
(503) 390-3161
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/22/2017
Last updated
07/21/2022
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