NICOLE TIEFENBACK

Peer Specialist

Active Individual
NPI: 1114740180

Practice Address

356 NE BEACON DR
Grants Pass, OR 97526

Phone: (541) 529-5156

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1114740180 is the National Provider Identifier for NICOLE TIEFENBACK, a Peer Specialist provider located in Grants Pass, OR. This NPI was enumerated on November 6, 2024.
NICOLE TIEFENBACK practices at 356 NE BEACON DR, Grants Pass, OR 97526.

Quick Facts

NPI
1114740180
Type
Individual
Enumerated
Nov 6, 2024
Last Updated
Nov 6, 2024

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