Individual
TIFFANY ALANNA TEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2730 S MOODY AVE, PORTLAND, OR 97201-5042
(503) 418-4334
Mailing address
2730 S MOODY AVE, PORTLAND, OR 97201-5042
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
08/07/2025
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