Tiffany Wildes

NPI 1346552395 · on the registry since 2010

Practice

Address: 405 Ne 5th St
Gresham, OR 97030
Phone: (503) 666-5600
Fax: (503) 667-9633
Organisation at this address: Pacific Senior Care, Llc
Gresham West Of Cascadia, Llc
Sapphire At Gresham Rehab, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-07-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon