Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Tiefenback

Individual provider Peer Specialist · NPI 1114740180

Nicole Tiefenback is a Peer Specialist in Grants Pass, Oregon. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

356 NE Beacon Dr
Grants Pass, OR 97526-3815
Phone: (541) 529-5156
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1114740180
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 6, 2024
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024
Mailing addressPo Box 1121, Roseburg, OR 97470-0254

Other providers in Grants Pass