TIFFANY WILDES

GRESHAM, OR
NPI1346552395
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OR  13350)
Enumeration Date2010-07-07
Last Update Date2010-07-07
Business Address
-- TIFFANY WILDES
405 NE 5TH ST
GRESHAM, OR 97030-7345
Phone number: 503-666-5600
Mailing Address
-- TIFFANY WILDES
405 NE 5TH ST
GRESHAM, OR 97030-7345
Phone number: 503-666-5600
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