Clark D Chipman, MD
Emergency Medicine in Portland, OR. Individual provider (NPI-1).
NPI number1144396136
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1144396136
- Entity type
- Individual (NPI-1)
- Name
- Clark D Chipman
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 28, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | MD12087 | OR | Yes |
Practice location
3650 Sw Bridlemile LnPortland, OR 97221-4039
Phone 503-432-8687
Mailing address
3650 Sw Bridlemile LnPortland, OR 97221-4039
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