Organization
NANCY YEN SHIPLEY MD LLC
Active
Other names
Form & Function Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY YEN SHIPLEY MD (CEO/OWNER)
(971) 971-4325
Entity
Organization
Contact information
Practice address
9555 SW BARNES RD STE 275, PORTLAND, OR 97225-6680
(971) 971-4325
(971) 231-0270
Mailing address
9555 SW BARNES RD STE 275, PORTLAND, OR 97225-6680
(971) 971-4325
(971) 231-0270
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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