IndividualActive
Tyler Lippincott, MD
NPI 1720170590 · Body Imaging Physician · Portand, OR
Provider details
- NPI number
- 1720170590
- Entity type
- Individual
- Primary specialty
- Body Imaging PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD16718 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
233 Ne 102nd Ave
Portand, OR 97220
Phone: (503) 253-1105
Fax: (503) 535-8398
Approximate (ZIP-level) locationGet directions
Mailing address
233 Ne 102nd Ave
Portland, OR 97220-4106
Registry dates
- Enumerated
- 2006-09-29
- Last updated
- 2015-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.