Provider Demographics
NPI:1972326338
Name:PFAFF, TAWNI (RN)
Entity type:Individual
Prefix:MS
First Name:TAWNI
Middle Name:
Last Name:PFAFF
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 F ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OR
Mailing Address - Zip Code:97355-1846
Mailing Address - Country:US
Mailing Address - Phone:541-367-8045
Mailing Address - Fax:
Practice Address - Street 1:525 F ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OR
Practice Address - Zip Code:97355-1846
Practice Address - Country:US
Practice Address - Phone:541-367-8045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR077039047RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse