Most Relevant Information
Provider Data
| NPI Number: | 1003012618 |
| Provider Name: | GINEVRA LOIS LIPTAN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 390200000X |
Most Important Dates
| Enumeration Date: | 06/21/2007 |
| Last Updated: | 10/13/2011 |
Provider Practice Location
6400 SW CANYON CT
STE 100
PORTLAND
OR
972211459
Practice Location Phone/Fax
| Phone: | 5034779616 |
| Fax: | 5034779808 |
Provider Mailing Location
6400 SW CANYON CT
STE 100
PORTLAND
OR
972211459
Provider Mailing Phone/Fax
| Phone: | 5034779616 |
| Fax: | 5034779808 |
Suggested EMR
Internist EMR