IndividualActive
Jennifer Tickner, CST/CSFA
NPI 1902191513 · Surgical Assistant · Silverton, OR
Provider details
- NPI number
- 1902191513
- Entity type
- Individual
- Primary specialty
- Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- CST/CSFA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 126088 (OR)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
10152 Silverton Rd Ne
Silverton, OR 97381-9306
Phone: (503) 480-9887
Approximate (ZIP-level) locationGet directions
Mailing address
10152 Silverton Rd Ne
Silverton, OR 97381-9306
Registry dates
- Enumerated
- 2011-06-10
- Last updated
- 2011-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.