Individual
TIFFANY VERONICA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
3850 S BOND AVE, PORTLAND, OR 97239-4838
(949) 449-9175
Mailing address
3850 S BOND AVE APT 525, PORTLAND, OR 97239-4837
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
187183
CA
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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