Search › Oregon › 363A00000X
Tiffany Petterborg, PA-C
NPI 1457841397 · on the registry since 2018
Practice
- Address
- 5289 Ne Elam Young Pkwy Ste 150
Hillsboro, OR 97124 - Phone
- (971) 353-4925
- Fax
- (833) 450-6378
- Organisation at this address
- Chidimma Abanulo, Md, Llc
Neurotherapeutic Pediatric Therapies IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 146N00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-06
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