Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | MD28053 | OR |
NPI | 1023229812 |
---|---|
Provider Name | Dr. Sarah Jan Lipton |
First Address | Portland, OR 97208-3158 |
Second Address | Portland, OR 97213-2956 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 24/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
218631 | (05) | OR |