TIFFANY ANN MARIE SARAH GRAVES MA
NPI 1386999332
Counselor - Mental Health in Wilsonville, OR
Active since July 16, 2012
29120 SW SAN REMO CT, WILSONVILLE, OR 97070(503) 682-1840(503) 682-1873 Get Directions Write a Review
About Tiffany Ann Marie Sarah Graves Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIFFANY ANN MARIE SARAH GRAVES MA (NPI 1386999332) is an individual mental health provider in Wilsonville, Oregon and active in the NPI registry since July 2012. She maintains a secondary practice location in Salem.
NPPES Registry Identity
NPI1386999332
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTIFFANY ANN MARIE SARAH GRAVESCredential: MA
Location Address29120 SW SAN REMO CTWilsonville, OR 97070-7373
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167
Phone(503) 682-1840
Fax(503) 682-1873
Sole ProprietorNo
Enumeration DateJuly 16, 2012
Last NPPES UpdateMarch 29, 2019
✔ NPI 1386999332 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
29120 SW SAN REMO CT, Wilsonville, OR 97070
Secondary Practice Location 1
Location 12421 Lancaster Dr NESalem, OR 97305-1220 · Phone (503) 576-4552
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychiatric Residential Treatment Facility
29120 SW SAN REMO CT
WILSONVILLE, OR 97070
WILSONVILLE, OR 97070
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386999332, enumerated as an "individual" on July 16, 2012.
The provider is located at 29120 SW SAN REMO CT WILSONVILLE, OR 97070 and the phone number is (503) 682-1840.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.