Individual
MS. TIFFANY MARIE KINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9115 SW OLESON RD STE 100, PORTLAND, OR 97223-6876
(636) 443-5685
Mailing address
5516 NE 89TH AVE, VANCOUVER, WA 98662-6057
(636) 443-5685
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
10/28/2020
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