Lipman, Derek Spencer
Lipman, Derek Spencer is an individual health care provider with primary practice located at 17704 Jean Way Ste 105, Lake Oswego OR 97035-5497. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Lipman, Derek Spencer can be contacted via phone (503) 675-6776.Contact Information
Primary practice address
17704 Jean Way Ste 105
Lake Oswego OR 97035-5497
Phone: (503) 675-6776
Fax: (503) 675-2572
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MD10662 | Oregon |
Profile Details
| NPI number | 1538145834 |
|---|---|
| LBN Legal business name | Lipman, Derek Spencer |
| Credentials | MD, LTD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | May 2nd, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538145834 | NPPES |
| Oregon | MEDICAID | 154963 |
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