Individual
TIFFANY K HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC-R
Contact information
Practice address
324 NW DAVIS ST, PORTLAND, OR 97209-3925
(844) 495-3224
Mailing address
324 NW DAVIS ST, PORTLAND, OR 97209-3925
(844) 495-3224
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-23-2563
OR
Other
Enumeration date
11/13/2025
Last updated
11/19/2025
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