Tiffany Simmons

NPI #1730584285 in Bend, Oregon

Provider Information

NPI Number: 1730584285
Entity Type: Individual
Name: Tiffany Simmons
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: Oct 27, 2014
Last Updated: Oct 27, 2014

Practice Location

Address: 20370 POE SHOLES DR
City: Bend
State: Oregon
ZIP Code: 97701-7938
Phone: (541) 318-1377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary
Psychiatric Residential Treatment Facility	323P00000X

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