Provider Demographics
NPI:1639945207
Name:TRAN, TIFFANY (AUD)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:TRAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10121 SE SUNNYSIDE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015-5713
Mailing Address - Country:US
Mailing Address - Phone:800-242-0260
Mailing Address - Fax:
Practice Address - Street 1:10121 SE SUNNYSIDE RD STE 300
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-5713
Practice Address - Country:US
Practice Address - Phone:800-242-0260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist