Tyler B Lippincott in Portand - Body Imaging

Tyler B Lippincott - NPI 1720170590

Tyler B Lippincott is a Body Imaging in Portand, Oregon. Tyler B Lippincott practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Tyler B Lippincott is 1720170590. The last update date is 2015-08-26.

Tyler B Lippincott's current location address is 233 Ne 102nd Ave, Portand, Oregon. You can contact this provider via phone number 5032531105 and fax number 5035358398. The mailing address for Tyler B Lippincott is 233 Ne 102nd Ave, Portand, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Tyler B Lippincott
Address 233 Ne 102nd Ave, Portand, Oregon
Phone Number 5032531105
Fax Number 5035358398
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1720170590
Provider Enumeration Date 2006-09-29
Last Updated Date 2015-08-26

Provider Mailing Address Detail

Address 233 Ne 102nd Ave
City Portand
State Oregon (OR)
Post Code 97220
Phone Number 5032531105
Fax Number 5035358398

Provider's Primary Taxonomy Detail

Speciality Body Imaging
Taxonomy 2085B0100X
Licence No MD16718
Definition:
A Radiology doctor of Osteopathy that specializes in Body Imaging.

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FAQs about Tyler B Lippincott

What is the unique provider identifier assigned to Tyler B Lippincott?

The Tyler B Lippincott has been issued the NPI (National Provider Identifier) 1720170590 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Tyler B Lippincott is physically located?

The Tyler B Lippincott is physically situated at the following address: 233 Ne 102Nd Ave, Portand, OR, 97220.

What is Tyler B Lippincott's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Tyler B Lippincott's specialized field of practice is Body Imaging, and the corresponding taxonomy code that categorizes this area of specialization is 2085B0100X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1720170590 to Tyler B Lippincott?

The Centers for Medicare & Medicaid Services originally issued the 1720170590 to Tyler B Lippincott on 2006-09-29.

As of what date were the details pertaining to Tyler B Lippincott last refreshed?

The information related to the Tyler B Lippincott, including its address, specialty, and other relevant details, was last updated on 2015-08-26.

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