Provider Demographics
NPI:1265819858
Name:MORNING, TIFFANI (LPCI)
Entity Type:Individual
Prefix:
First Name:TIFFANI
Middle Name:
Last Name:MORNING
Suffix:
Gender:F
Credentials:LPCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20873 SW RAVENSWOOD ST
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97078-5424
Mailing Address - Country:US
Mailing Address - Phone:503-720-4776
Mailing Address - Fax:
Practice Address - Street 1:20873 SW RAVENSWOOD ST
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97078-5424
Practice Address - Country:US
Practice Address - Phone:503-720-4776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-03
Last Update Date:2015-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty