TIFFANY NICKERSON

Physician Assistant

Active Individual
NPI: 1336693605

Practice Address

589 NW 11TH ST
Hermiston, OR 97838

Phone: (541) 567-1717

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA179818 (OR)

Frequently Asked Questions

NPI 1336693605 is the National Provider Identifier for TIFFANY NICKERSON, a Physician Assistant provider located in Hermiston, OR. This NPI was enumerated on August 4, 2016.
TIFFANY NICKERSON practices at 589 NW 11TH ST, Hermiston, OR 97838.

Quick Facts

NPI
1336693605
Type
Individual
Enumerated
Aug 4, 2016
Last Updated
Mar 22, 2021

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