Provider Demographics
NPI:1477631703
Name:SASKIA HOSTETLER LIPPY, MD, LLC
Entity Type:Organization
Organization Name:SASKIA HOSTETLER LIPPY, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SASKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOSTETLER LIPPY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-241-5253
Mailing Address - Street 1:3439 NE SANDY BLVD PMB 375
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-1959
Mailing Address - Country:US
Mailing Address - Phone:503-284-8841
Mailing Address - Fax:503-282-3302
Practice Address - Street 1:833 SW 11TH AVE
Practice Address - Street 2:STE 250
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-2125
Practice Address - Country:US
Practice Address - Phone:503-241-5253
Practice Address - Fax:503-241-5559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD243552084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty