Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIFFANY PETTERBORG, PA-C
DeactivatedTIFFANY PETTERBORG, PA-C is a Physician Assistant healthcare provider located in HILLSBORO, Oregon. NPI 1457841397 is deactivated in the NPPES registry. Verify at CMS.
Physician Assistant · HILLSBORO, OR
This NPI has been deactivated.
The record was deactivated on October 18, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1457841397
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 16, 2018 (6.4246575342466 yrs)
- Last Updated
- Nov 6, 2024
- Deactivated
- Oct 18, 2024
- License
-
PA221939 (OR)
Practice Information
- Address
-
5289 NE ELAM YOUNG PKWY STE 150HILLSBORO, OR, 971247551Browse OR providers · Browse ZIP 97124
- Phone
- 9713534925
- Fax
- 8334506378
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in HILLSBORO, OR
| Name | Credential | NPI |
|---|---|---|
| JOHN A VOSS | PA-C, MS | 1225019581 |
| MS. MARIA NGUYEN | PA | 1154306009 |
| MR. JONATHAN WILLIAM GIETZEN | PA-C | 1346227972 |
| MS. CHRISTINE F. LEGLER | PA-C | 1659339505 |
| ELLEN J. LEMON | PA-C | 1225085178 |
| MS. DEBORAH ANN HOBBS-MURPHY | PA-C | 1720191307 |
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.