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

Individual provider Adult Health Nurse Practitioner · NPI 1124384334

Tiffany Jean Culbertson, ANP is a Nurse Practitioner in Portland, Oregon. Qualified in 2010, 16 years ago. Practices with University Professional Services, a 1,704-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
16
Licensed in
OR
In the registry since
2012
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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-7959
Fax: (503) 494-0022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 201050161NP (OR)

Record details

NPI number1124384334
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedApril 2, 2012
Last updated in NPPESApril 2, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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