Organization
DEREK S. LIPMAN MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK S LIPMAN M.D. (PRESIDENT)
(503) 675-6776
Entity
Organization
Contact information
Practice address
17704 JEAN WAY, STE 105, LAKE OSWEGO, OR 97035-5497
(503) 675-6776
(503) 675-2572
Mailing address
17704 JEAN WAY, STE 105, LAKE OSWEGO, OR 97035-5497
(503) 675-6776
(503) 675-2572
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD10662
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154963
—
OR
Enumeration date
04/11/2008
Last updated
05/02/2012
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