Individual provider · Type 1 NPI

Tyler Clark Chipman, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Gresham, OR

NPI number 1366812372 Active

Practice location

600 NE 8th St Ste 300
Gresham, OR 97030-7318

Fax (503) 988-5185

Mailing address

2942 SE Yamhill St Apt A
Portland, OR 97214-4092

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X201506224NP-PP (OR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1366812372

Tyler Clark Chipman, PMHNP's National Provider Identifier is 1366812372, issued on Oct 2, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Gresham, OR. The record was last updated on Oct 2, 2015.