TYLER CLARK CHIPMAN

GRESHAM, OR
NPI1366812372
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  201506224NP-PP)
Enumeration Date2015-10-02
Last Update Date2015-10-02
Business Address
-- TYLER CLARK CHIPMAN PMHNP
600 NE 8TH ST STE 300
GRESHAM, OR 97030-7318
Phone number: 503-988-5155
Mailing Address
-- TYLER CLARK CHIPMAN PMHNP
2942 SE YAMHILL ST APT A
PORTLAND, OR 97214-4092
Phone number: 503-593-9521