Provider Demographics
NPI:1437423761
Name:RAMEY, TIFFANY NICHOLE (RDH)
Entity Type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:NICHOLE
Last Name:RAMEY
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32931 NW PEKIN FERRY RD
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:WA
Mailing Address - Zip Code:98642-9793
Mailing Address - Country:US
Mailing Address - Phone:360-513-7512
Mailing Address - Fax:
Practice Address - Street 1:32931 NW PEKIN FERRY RD
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:WA
Practice Address - Zip Code:98642-9793
Practice Address - Country:US
Practice Address - Phone:360-513-7512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORH5935124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist