Colleen D Phillips, PA-C
Physician Assistant, Surgical in Portland, OR. Individual provider (NPI-1).
NPI number1245308618
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1245308618
- Entity type
- Individual (NPI-1)
- Name
- Ms. Colleen D Phillips
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 1, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA00406 | OR | Yes |
Practice location
12400 Nw Cornell Rd Ste 200Portland, OR 97229-5689
Phone 503-646-0101 · Fax 503-350-1420
Mailing address
9850 Nw Justus LnPortland, OR 97229-8551
Phone 503-297-5155
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All 182 Surgical Physician Assistant providers in Portland · All 48,847 providers in Portland
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