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1366812372
TYLER CLARK CHIPMAN
GRESHAM, OR
NPI
1366812372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 201506224NP-PP)
Enumeration Date
2015-10-02
Last Update Date
2015-10-02
Business Address
-- TYLER CLARK CHIPMAN PMHNP
600 NE 8TH ST STE 300
GRESHAM, OR 97030-7318
Phone number: 503-988-5155
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Mailing Address
-- TYLER CLARK CHIPMAN PMHNP
2942 SE YAMHILL ST APT A
PORTLAND, OR 97214-4092
Phone number: 503-593-9521
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