MEDICARE: ELIZABETH ZIPPRER DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	DO228844	OR

General Provider Information

NPI Number	:	1265056246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ZIPPRER DO

Provider Business Mailing Address
First Line	:	PO BOX 3808
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97208-3808
Country	:	US
Telephone Number	:	503-413-3900
Fax Number	:	503-413-3710

Provider Business Practice Location Address
First Line	:	1040 NW 22ND AVE STE 520
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97210-3097
Country	:	US
Telephone Number	:	503-413-7557
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2020
Last Update Date	:	04/07/2026

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Directions to “ ELIZABETH ZIPPRER DO” Practice Location

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