Individual ProviderLawrence HipshmanPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011(503) 494-8617PECOS EnrollmentBased on the most recent information from CMS, provider Lawrence Hipshman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1548278088Provider TypeIndividualFull NameHipshman, LawrenceCredentialMDGenderMaleSole ProprietorNoEnumeration Date8/3/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011Phone(503) 494-8617FaxUnlisted FaxMailing LocationMailing Address19749 Wildwood Dr, West Linn, OR 97068-2226PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseMD20882OregonProvider IdentifiersIDDescriptionIssuerID130271DescriptionMedicaidIssuerUnlistedOregon