TIFFANY LYNN UNDERWOOD

SALEM, OR
NPI1649317272
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-01-31
Last Update Date2007-07-08
Business Address
-- TIFFANY LYNN UNDERWOOD B.S.
3325 HAROLD DR NE
SALEM, OR 97305-1339
Phone number: 509-363-2021
Mailing Address
-- TIFFANY LYNN UNDERWOOD B.S.
2265 CENTER ST NE
SALEM, OR 97301-4461
Phone number: 503-510-7704