Individual
MARY M TIPPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1475 MT. HOOD AVENUE, WOODBURN, OR 97071
(971) 983-5252
(971) 983-5253
Mailing address
1475 MT. HOOD AVENUE, WOODBURN, OR 97071
(971) 983-5252
(971) 983-5253
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
094007047
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071514
—
OR
Enumeration date
11/13/2006
Last updated
08/14/2013
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