Individual
ELIZABETH JUSTINE TIPPOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
9155 SW BARNES RD STE 536, PORTLAND, OR 97225
(503) 935-8100
(503) 935-8110
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
030955
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500773676
—
OR
Enumeration date
05/07/2018
Last updated
10/09/2024
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