Individual
DR. RICHARD BOYD PHIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1217 NE BURNSIDE RD, SUITE 704, GRESHAM, OR 97030-6722
(503) 661-2577
(503) 492-4546
Mailing address
1217 NE BURNSIDE RD, SUITE 704, GRESHAM, OR 97030-6722
(503) 661-2577
(503) 492-4546
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD11864
OR
207ND0900X
Dermatopathology Physician
MD11864
OR
Other
Enumeration date
07/08/2005
Last updated
08/07/2009
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