Individual
JESSE KIPPERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3509 NW SAMARITAN DR STE 215, CORVALLIS, OR 97330-3893
(541) 768-5235
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO218864
OR
2084P0800X
Psychiatry Physician
PG199038
OR
Other
Enumeration date
04/16/2020
Last updated
10/28/2024
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