Individual
TIFFANY KAMRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1793 13TH ST SE, SALEM, OR 97302-2541
(503) 362-8385
(503) 362-8435
Mailing address
1793 13TH ST SE, SALEM, OR 97302-2541
(503) 362-8385
(503) 362-8435
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201394395NP-PP
OR
363LF0000X
Family Nurse Practitioner
AP60251700
WA
Other
Enumeration date
10/28/2011
Last updated
07/20/2023
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