Kippen, James D

Kippen, James D is an individual health care provider with primary practice located at 1255 Hilyard St , Eugene OR 97401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kippen, James D can be contacted via phone (541) 687-7134.

Contact Information

Primary practice address
1255 Hilyard St Eugene OR 97401
Phone: (541) 687-7134
Fax: (541) 687-7135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD24860 Oregon

Profile Details

NPI number 1316923592
LBN Legal business name Kippen, James D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated May 14th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316923592 NPPES
Oregon MEDICAID 022617
Oregon MEDICAID 8404980
Oregon MEDICAID MD2487R
Oregon MEDICAID MD2486R

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