TIFFANY NICKERSON

HERMISTON, OR
NPI1336693605
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA179818)
Enumeration Date2016-08-04
Last Update Date2021-03-22
Business Address
TIFFANY NICKERSON
589 NW 11TH ST
HERMISTON, OR 97838-6600
Phone number: 541-567-1717
Mailing Address
TIFFANY NICKERSON
589 NW 11TH ST
HERMISTON, OR 97838-6600
Phone number: 541-567-1717
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