NPI 1902191513

Jennifer Tickner, CSTCSFA

Practitioner Surgical Assistant Silverton, OR

Practice location

Address: 10152 Silverton Rd NE, Silverton, OR 97381-9306
Phone: (503) 480-9887

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 126088 (OR)

Other Specialist/Technologist, Other providers in Oregon →

Registry record

NPI: 1902191513
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jun 2011
Record last updated: 10 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.