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

Tiffany Dewilde

Individual provider Physical Therapist · NPI 1508623539

Tiffany Dewilde is a Physical Therapist in Portland, Oregon. Licensed in Washington. Registered with an NPI since 2024.

Licensed in
WA
In the registry since
2024

Practice location Address checks out

6410 NE Halsey St Ste 200
Portland, OR 97213-4742
Phone: (503) 215-4321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT60533084 (WA)

Record details

NPI number1508623539
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 5, 2024
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024
Mailing address6410 Ne Halsey St, Ste 200, Portland, OR 97213-4742

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