Individual
GARY S LIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC1
Contact information
Practice address
2600 SE BELMONT ST, PORTLAND, OR 97214-2916
(503) 239-5738
Mailing address
141 NE 147TH AVE, #23, PORTLAND, OR 97230-4260
(503) 473-2028
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
021147
OR
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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