GARY S LIPSON

PORTLAND, OR
NPI1114141256
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  021147)
Enumeration Date2007-04-12
Last Update Date2007-07-08
Business Address
-- GARY S LIPSON cadc1
2600 SE BELMONT ST
PORTLAND, OR 97214-2916
Phone number: 503-239-5738
Mailing Address
-- GARY S LIPSON cadc1
141 NE 147TH AVE #23
PORTLAND, OR 97230-4260
Phone number: 503-473-2028