Individual
DR. HAROLD JAMES TIFFANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 830-7499
Mailing address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101012959
MI
Other
Enumeration date
08/05/2006
Last updated
06/27/2012
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