Healthcare Provider Details

I. General information

NPI: 1952995805
Provider Name (Legal Business Name): DANIELE LIPPARONI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2021
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11900 SW BEAVERTON HILLSDALE HWY
BEAVERTON OR
97005-2976
US

IV. Provider business mailing address

1260 SW 66TH AVE APT 5202
PORTLAND OR
97225-6078
US

V. Phone/Fax

Practice location:
  • Phone: 503-506-5028
  • Fax:
Mailing address:
  • Phone: 650-245-5838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6496
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: