Wildes, Tiffany

Wildes, Tiffany is an individual health care provider with primary practice located at 405 Ne 5Th St , Gresham OR 97030-7345. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wildes, Tiffany can be contacted via phone (503) 666-5600.

Contact Information

Primary practice address
405 Ne 5Th St Gresham OR 97030-7345
Fax: (503) 667-9633
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 13350 Oregon

Profile Details

NPI number 1346552395
LBN Legal business name Wildes, Tiffany
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2010
Last updated Jul 7th, 2010 - about 15 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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