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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIFFANY NICKERSON

Active

TIFFANY NICKERSON is a Physician Assistant healthcare provider located in HERMISTON, Oregon. NPI 1336693605 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · HERMISTON, OR

Registration Details

NPI Number
1336693605
Provider Type
Individual
Gender
Female
NPI Issued
Aug 4, 2016 (10.016018515725 yrs)
Last Updated
Mar 22, 2021
License
PA179818 (OR)

Practice Information

Address
589 NW 11TH ST
HERMISTON, OR, 978386600
Browse OR providers · Browse ZIP 97838
Phone
5415671717
Fax
5415645994
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in HERMISTON, OR

Name Credential NPI
MS. NICOLETTE LEE THOMPSON PA-C 1922143445
MR. DANIEL A BROWN PA-C 1699090407
MR. RANDALL DOUGLAS KELLY MHS, DMSC, PA-C 1922393974
JASON LEE JOHNSTON 1740547439
MATTHEW C MARSHALL MPAS, PA-C 1588924781
MS. LORI FARMER PA-C 1932504115
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.