Individual
MS. SUSAN LYNN HIPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3710 SW VETERANS HOSPITAL RD, PORTLAND, OR 97239
(503) 220-8262
(503) 220-3499
Mailing address
3000 SE 55TH AVE, PORTLAND, OR 97206
(503) 774-3271
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262361
—
OR
Enumeration date
10/03/2006
Last updated
07/09/2007
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