Chipman, Tyler Clark

Chipman, Tyler Clark is an individual health care provider with primary practice located at 600 Ne 8Th St Ste 300 , Gresham OR 97030-7318. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Chipman, Tyler Clark can be contacted via phone (503) 988-5155.

Contact Information

Primary practice address
600 Ne 8Th St Ste 300 Gresham OR 97030-7318
Phone: (503) 988-5155
Fax: (503) 988-5185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 201506224NP-PP Oregon

Profile Details

NPI number 1366812372
LBN Legal business name Chipman, Tyler Clark
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2015
Last updated Oct 2nd, 2015 - about 9 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.

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