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Contact Information

TIFFANY PETTERBORG, PA-C
5289 NE ELAM YOUNG PKWY STE 150
HILLSBORO, OR97124-7551
 Phone: 971-353-4925
 Fax: 833-450-6378
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for TIFFANY PETTERBORG · (Female)

NPI # 1457841397
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/16/2018
Last updated 11/06/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OR License # PA221939
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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