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Tiffany Ruth Legree

Counselor

Behavioral Health & Social Service Providers

6926 NE Fourth Plain Blvd, Vancouver, WA 98661

PECOS Enrollment

This provider is enrolled in PECOS as TIFFANY LEGREE.

Based on the most recent information from CMS, provider Tiffany Ruth Legree is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:04 AM.

Profile Details

Provider ID
1841704871
Provider Type
Individual
Full Name
Legree, Tiffany Ruth
Gender
Female

Sole Proprietor
No
Enumeration Date
11/29/2017
Last Updated
11/15/2019

Contact Information

Practice Location

6926 NE Fourth Plain Blvd, Vancouver, WA 98661

(360) 993-3000

Unlisted Fax

Mailing Location

6926 NE Fourth Plain Blvd, Vancouver, WA 98661-7254

(360) 993-3000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer

Tiffany Ruth Legree

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Brinkman, Daniel

Tom, Heather M

Warren, Bryan

Diamond, Kathkeen Alicia

Lawless, Meghan

Kazakov, Davyd

Gonzalez Ponce, Brianna Lizeth

Philpott, Laura

Padilla, Alfred

Luce, Melissa