MS. TIFFANY D WOLLEAT CADCI/CRMII/PSS/QMHA
NPI 1811630361
Counselor - Addiction (Substance Use Disorder) in Gresham, OR

Active since April 13, 2022
620 NE 2ND ST, GRESHAM, OR 97030(971) 274-3757(503) 912-5740 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, Mar 31, 2025, Mar 7, 2024 and 3 more (6 updates tracked since 2022).

About Ms. Tiffany D Wolleat Cadci/crmii/pss/qmha NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TIFFANY D WOLLEAT CADCI/CRMII/PSS/QMHA (NPI 1811630361) is an individual addiction (substance use disorder) provider in Gresham, Oregon, licensed in Oregon (24-03-11057) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1811630361
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. TIFFANY D WOLLEATCredential: CADCI/CRMII/PSS/QMHA
Location Address620 NE 2ND STGresham, OR 97030-7514
Mailing Address211 Se Caruthers StPortland, OR 97214-4502 · (503) 224-1044 · Fax (971) 260-0355
Fax(503) 912-5740
Sole ProprietorNo
Enumeration DateApril 13, 2022
Last NPPES UpdateJune 30, 20256 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
NPI 1811630361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses Licensed in OR · 24-03-11057 Licensed in OR · 24-CRM-II-0221
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 25-QMHA-R-6749 (OR)
Also ListedPeer SpecialistTaxonomy 175T00000X · License THW000106154 (OR)
620 NE 2ND ST, Gresham, OR 97030

Other Identifiers 3

Medicaid500856977OR
Medicaid500806711OR
Medicaid500808225OR

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.

Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Counselor (Addiction (Substance Use Disorder))
620 NE 2ND ST
GRESHAM, OR 97030
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Counselor (Addiction (Substance Use Disorder))
620 NE 2ND ST
GRESHAM, OR 97030
Social Worker
620 NE 2ND ST
GRESHAM, OR 97030
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Counselor (Addiction (Substance Use Disorder))
620 NE 2ND ST
GRESHAM, OR 97030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Wolleat's NPI number?

The NPI number for Tiffany Wolleat is 1811630361. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Where is Tiffany Wolleat located?

Tiffany Wolleat practices at 620 NE 2nd St, Gresham, OR 97030. The listed phone number is (971) 274-3757.

What is Tiffany Wolleat's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tiffany Wolleat was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.