Provider Demographics
NPI:1780059634
Name:PARRET, TIFFANY L (HCS)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:L
Last Name:PARRET
Suffix:
Gender:F
Credentials:HCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10365 SE SUNNYSIDE RD STE 230
Mailing Address - Street 2:
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015-5748
Mailing Address - Country:US
Mailing Address - Phone:503-698-5221
Mailing Address - Fax:503-698-4280
Practice Address - Street 1:10365 SE SUNNYSIDE RD STE 230
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-5748
Practice Address - Country:US
Practice Address - Phone:503-698-5221
Practice Address - Fax:503-698-4280
Is Sole Proprietor?:No
Enumeration Date:2015-12-03
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORHAS-P-10128294237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist