Active NPI
Tamara Monic Sipp
- Counselor
- Gresham, OR
National Provider Identifier
1447660725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- R9023
- Practice address
- 1584 NE 8TH St Ste 200
Gresham, OR 97030-5746 - Phone
- (971) 421-8696
- Fax
- (503) 328-8094
- NPI assigned
- May 7, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | R9023 | OR | Primary |
Addresses
Primary practice location
1584 NE 8TH St Ste 200
Gresham, OR 97030-5746
Mailing address
PO Box 15623
Tampa, FL 33684-5623
Phone (858) 652-1211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9023 | OR | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1447660725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15623",
"city": "TAMPA",
"state": "FL",
"postal_code": "336845623",
"telephone_number": "858-652-1211",
"fax_number": "503-328-8094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1584 NE 8TH ST STE 200",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970305746",
"telephone_number": "971-421-8696",
"fax_number": "503-328-8094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIPP",
"first_name": "TAMARA",
"middle_name": "MONIC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-07",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "R9023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.