Kearney, Tiffanie
Kearney, Tiffanie is an individual health care provider with primary practice located at 10564 Se Washington St , Portland OR 97216-2809. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Kearney, Tiffanie can be contacted via phone (503) 228-9229.Contact Information
Primary practice address
10564 Se Washington St
Portland OR 97216-2809
Phone: (503) 228-9229
Fax: (509) 229-9558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | Oregon |
Profile Details
| NPI number | 1497127195 |
|---|---|
| LBN Legal business name | Kearney, Tiffanie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2015 |
| Last updated | Oct 21st, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497127195 | NPPES |
| Oregon | MEDICAID | 175T00000X |
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