Individual
TIFFANY J GREGORICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 BOULDER FALLS DR APT E117, LEBANON, OR 97355-2882
(541) 971-8256
Mailing address
685 HILLVIEW DR, LEBANON, OR 97355-2969
(541) 971-8256
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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