Individual
TIFFANY ANNE VAN MAREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LDM, LM, THW
Contact information
Practice address
937 CHETCO AVE STE I, BROOKINGS, OR 97415-2562
(541) 254-9101
(541) 787-6140
Mailing address
932 7TH ST, BROOKINGS, OR 97415-8227
(707) 218-4323
(541) 787-6140
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
DEM-LD-10245512
OR
176B00000X
Midwife
Primary
LM744
CA
374J00000X
Doula
113468
OR
Other
Enumeration date
07/11/2024
Last updated
03/10/2025
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