TIFFANY ANN MARIE SARAH GRAVES (NPI# 1386999332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386999332 |
| Entity Type | Individual |
| Full Name | TIFFANY ANN MARIE SARAH GRAVES |
| Credential | MA |
| Practice Address |
29120 Sw San Remo Ct Wilsonville OR 97070-7373 |
| Mailing Address |
3587 Heathrow Way Medford OR 97504-4004 |
| Practice Telephone | 5036821840 |
| Practice Fax Number | 5036821873 |
| Mailing Telephone | 5418588170 |
| Mailing Fax Number | 5418588167 |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2019-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2421 Lancaster Dr Ne, Salem, OR 973051220 | 5035764552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598377525 | Tiffany Graves | Registered Nurse | 7701 Sun Vista Way, Orlando, FL 32822-7502 | 2020-08-20 |
| 1174140784 | Tiffany Ariel Graves | Student in an Organized Health Care Education/Training Program | 1 Freedom Way, Augusta, GA 30904-6258 | 2020-06-30 |
| 1881225720 | Tiffany Graves | Counselor | 4030 Mount Carmel Tobasco Rd, Cincinnati, OH 45255-3400 | 2020-01-29 |
| 1154971521 | Tiffany L Graves | Registered Nurse | 7710 W Interstate 10, San Antonio, TX 78230-4711 | 2019-09-17 |
| 1770909228 | Tiffany Graves | Counselor | 315 Wyckoff Ave Ste 6, Brooklyn, NY 11237-5842 | 2014-03-07 |
| Street Address |
29120 SW SAN REMO CT |
| City | WILSONVILLE |
| State | OR |
| Zip Code | 97070-7373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609011964 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 29120 Sw San Remo Ct, Wilsonville, OR 97070-7373 | 2008-12-15 |
| 1285117960 | Roberta L Goldstein | Counselor | 29120 Sw San Remo Ct, Wilsonville, OR 97070-7373 | 2018-09-10 |
| 1730600099 | Andrea Picard | Counselor | 29120 Sw San Remo Ct, Wilsonville, OR 97070-7373 | 2017-06-27 |
| 1689033813 | Betty Morgan | Counselor | 29120 Sw San Remo Ct, Wilsonville, OR 97070-7373 | 2016-02-16 |
| 1831558303 | Coreen Scott | Counselor | 29120 Sw San Remo Ct, Wilsonville, OR 97070-7373 | 2016-02-12 |
| 1740649219 | Caila Grubbs | Counselor | 29120 Sw San Remo Ct, Wilsonville, OR 97070-7373 | 2016-02-12 |
| 1568821031 | Elizabeth Hoose | Counselor | 29120 Sw San Remo Ct, Wilsonville, OR 97070-7373 | 2016-02-12 |
| 1477912947 | Dennis Ledoux | Counselor | 29120 Sw San Remo Ct, Wilsonville, OR 97070-7373 | 2016-02-12 |
| 1194184663 | Jessica Pierce | Counselor | 29120 Sw San Remo Ct, Wilsonville, OR 97070-7373 | 2016-02-12 |
| 1003275579 | Lindsey Pieschel | Counselor | 29120 Sw San Remo Ct, Wilsonville, OR 97070-7373 | 2016-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995896 | Rosalyn Sharon Mckinney | Technician | 7798 Sw Vlahos Dr, Wilsonville, OR 97070 | 2019-10-29 |
| 1275027393 | Oregon Regeneration Stem Cell Medical Center, LLC | Chiropractor | 29781 Sw Town Center Loop, Wilsonville, OR 97070 | 2018-06-21 |
| 1073050472 | Kirstin Marie Lauritzen | Chiropractor | 25589 Sw Canyon Creek Rd Ste 100, Wilsonville, OR 97070 | 2017-01-23 |
| 1932642220 | Nicole Galasso | Occupational Therapy Assistant | 25117 Sw Parkway Avenue Suite D, Wilsonville, OR 97070 | 2016-11-18 |
| 1508317512 | Justin Langlais | Naturopath | 25195 Sw Parkway Ave Ste 210, Wilsonville, OR 97070 | 2016-10-14 |
| 1518411149 | Stephanie Tran | Optometrist | 29250 Town Center Loop W, Wilsonville, OR 97070 | 2016-08-11 |
| 1346610607 | Rachel Ziegler | Occupational Therapy Assistant | 25117 Sw Parkway Ave Suite D, Willsonville, OR 97070 | 2015-09-30 |
| 1992184238 | Michelle Miranda | Counselor | 30150 Sw Parkway Ave Ste 300, Wilsonville, OR 97070 | 2015-05-19 |
| 1609275007 | Ryan Bridges | Dentist | 30040 Sw Boones Ferry Rd Ste 20, Wilsonville, OR 97070 | 2014-08-21 |
| 1649604018 | Jason Russell James | Physical Therapist | 29174 Sw Town Center Loop W # 202b, Wilsonville, OR 97070 | 2013-08-21 |
| Find all providers in zip 97070 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235653379 | Meredith Marie Mirsepassi | Counselor | 8855 Sw Holly Ln Ste 105, Wilsonville, OR 97070-8792 | 2017-07-31 |
| 1992184238 | Michelle Miranda | Counselor | 30150 Sw Parkway Ave Ste 300, Wilsonville, OR 97070 | 2015-05-19 |
| 1285056390 | Barry William Mcvay | Counselor | 28558 Sw Wagner St, Wilsonville, OR 97070-6786 | 2014-01-08 |
| 1003178476 | Debra Agee | Counselor | 11520 Sw Zurich St, Wilsonville, OR 97070-7383 | 2012-06-12 |
| 1942594692 | Jeff Love | Counselor | 29549 Sw Villebois Dr S, Wilsonville, OR 97070-7329 | 2011-05-29 |
| 1053645028 | Chasee Lofft | Counselor | 29270 Sw Orleans Loop, Box 9, Wilsonville, OR 97070 | 2009-09-23 |
| 1255571634 | Linda Marie Stenberg | Counselor | 8855 Sw Holly Ln Ste 131, Wilsonville, OR 97070-8793 | 2009-02-25 |
| 1356464648 | Christine E. Rolphe-bewley | Counselor | 9450 Sw Commerce Cir Ste 320, Wilsonville, OR 97070-9626 | 2007-04-09 |
| 1780720425 | John Benassu | Counselor | 30470 Sw Parkway Ave, Wilsonville, OR 97070-7804 | 2007-01-29 |
| 1235754284 | Cheryl D Ferreira | Counselor | 24499 Sw Grahams Ferry Rd, Wilsonville, OR 97070-7523 | 2020-06-15 |
| Find all providers in WILSONVILLE | ||||
| City | WILSONVILLE |
| Zip Code | 97070 |
Please comment or provide details below to improve the information on TIFFANY ANN MARIE SARAH GRAVES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.