Nickerson, Tiffany

Nickerson, Tiffany is an individual health care provider with primary practice located at 589 Nw 11Th St , Hermiston OR 97838-6600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Nickerson, Tiffany can be contacted via phone (541) 567-1717.

Contact Information

Primary practice address
589 Nw 11Th St Hermiston OR 97838-6600
Phone: (541) 567-1717
Fax: (541) 564-5994
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA179818 Oregon

Profile Details

NPI number 1336693605
LBN Legal business name Nickerson, Tiffany
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2016
Last updated Mar 22nd, 2021 - about 4 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.

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