Individual
DR. MATTHEW DAVID KIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 669-3990
Mailing address
9701 SE JOHNSON CREEK BLVD, APARTMENT C306, HAPPY VALLEY, OR 97266-6658
(503) 467-1452
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0010624
OR
Other
Enumeration date
03/03/2007
Last updated
07/08/2007
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