Individual
DR. DAVID M KLIPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4231 NE SISKIYOU ST, PORTLAND, OR 97213-1161
(503) 233-0649
Mailing address
4231 NE SISKIYOU ST, PORTLAND, OR 97213-1161
(503) 233-0649
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
DO24734
OR
2085R0202X
Diagnostic Radiology Physician
066693
GA
2085R0202X
Diagnostic Radiology Physician
Primary
D024734
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066693
PHYSICIAN LICENSE
GA
05
—
232505
—
OR
Enumeration date
10/05/2006
Last updated
01/13/2016
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