Individual
ALEX RONALD TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
555 WELCOME WAY SE, SALEM, OR 97302-3931
(503) 930-7729
Mailing address
555 WELCOME WAY SE, SALEM, OR 97302-3931
(503) 930-7729
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C5127
OR
172V00000X
Community Health Worker
—
—
Other
Enumeration date
11/21/2013
Last updated
04/02/2020
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