Individual
MR. GERALD HARVEY SHIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMFT
Contact information
Practice address
7455 SW BEVELAND ST, TIGARD, OR 97223-8610
(503) 624-2600
(503) 624-7752
Mailing address
14584 SE BONNIE WAY, MILWAUKIE, OR 97267-2225
(503) 723-7130
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0329
OR
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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