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

Tiffany Nickerson

Individual provider Physician Assistant · NPI 1336693605

Tiffany Nickerson is a Physician Assistant in Hermiston, Oregon. Qualified in 2016, 10 years ago. Practices with Yakima Valley Farm Workers Clinic, a 276-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
10
Licensed in
OR
In the registry since
2016
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Practice location Address checks out

589 NW 11th St
Hermiston, OR 97838-6600
Phone: (541) 567-1717
Fax: (541) 564-5994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA179818 (OR)

Record details

NPI number1336693605
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 4, 2016
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021
Mailing address589 Nw 11th St, Hermiston, OR 97838-6600

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Yakima Valley Farm Workers Clinic — 276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Hermiston