Individual
GINEVRA LOIS LIPTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6400 SW CANYON CT, STE 100, PORTLAND, OR 97221-1459
(503) 477-9616
(503) 477-9808
Mailing address
6400 SW CANYON CT, STE 100, PORTLAND, OR 97221-1459
(503) 477-9616
(503) 477-9808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
390200000X
OR
208VP0000X
Pain Medicine Physician
Primary
28421
OR
Other
Enumeration date
06/21/2007
Last updated
10/13/2011
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