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Individual

DR. TYLER B LIPPINCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
233 NE 102ND AVE, PORTAND, OR 97220
(503) 253-1105
(503) 535-8398
Mailing address
233 NE 102ND AVE, PORTLAND, OR 97220-4106

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
MD16718
OR

Other

Enumeration date
09/29/2006
Last updated
08/26/2015
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