Fregoso, Tiffany Nicole

Fregoso, Tiffany Nicole is an individual health care provider with primary practice located at 2074 S 6Th St , Klamath Falls OR 97601-3372. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Fregoso, Tiffany Nicole can be contacted via phone (541) 851-8110.

Contact Information

Primary practice address
2074 S 6Th St Klamath Falls OR 97601-3372
Phone: (541) 851-8110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 202005781RN Oregon

Profile Details

NPI number 1043810930
LBN Legal business name Fregoso, Tiffany Nicole
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2020
Last updated Oct 29th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043810930 NPPES
Oregon MEDICAID 170061

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