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Individual

LISA MARIE LIPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
201 N WASHINGTON ST, NEWBERG, OR 97132-2727
(503) 538-0800
Mailing address
201 N WASHINGTON ST, NEWBERG, OR 97132-2727
(503) 538-0800
(503) 554-8408

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP180
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R0000SGBJW
P10
OR
Enumeration date
12/08/2005
Last updated
03/04/2009
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