Whitehead, Tiffiny Donnalee

Whitehead, Tiffiny Donnalee is an individual health care provider with primary practice located at 400 Ne 7Th St , Gresham OR 97030-5604. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Whitehead, Tiffiny Donnalee can be contacted via phone (503) 661-5455.

Contact Information

Primary practice address
400 Ne 7Th St Gresham OR 97030-5604
Phone: (503) 661-5455
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1144414327
LBN Legal business name Whitehead, Tiffiny Donnalee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2007
Last updated Mar 3rd, 2008 - about 16 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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