TIFFANY DAWN WOLLEAT

GRESHAM, OR
NPI1811630361
Former NameTIFFANY DAWN ALMASRI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  24-03-11057)
Additional Taxonomies175T00000X Peer Specialist
(Licence: OR  THW000106154)
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  24-CRM-II-0221)
Enumeration Date2022-04-13
Last Update Date2024-03-20
Business Address
TIFFANY DAWN WOLLEAT CADC I/CRM II/PSS
620 NE 2ND ST
GRESHAM, OR 97030-7514
Phone number: 971-274-3757
Mailing Address
TIFFANY DAWN WOLLEAT CADC I/CRM II/PSS
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044