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Contact Information

TIFFANY CARLSON
1750 BLANKENSHIP RD
SUITE 295
WEST LINN, OR97068-5101
 Phone: 503-344-4378
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Kinesiotherapist

226300000X
Indicates primary specialty

NPI Profile & details for TIFFANY CARLSON · (Female)

NPI Number 1265783518
Status Active
Credentials
Entity Individual
Enumeration date 09/26/2012
Last updated 09/26/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # T59079
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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