Organization
DR. PETER G. PHILLIPS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER GEORGE PHILLIPS D.C. (CEO)
(360) 694-1118
Entity
Organization
Contact information
Practice address
8308 E MILL PLAIN BLVD, 102, VANCOUVER, WA 98664-2007
(360) 694-1118
(360) 694-1979
Mailing address
8308 E MILL PLAIN BLVD, 102, VANCOUVER, WA 98664-2007
(360) 694-1118
(360) 694-1979
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002231
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00261964
RAIL ROAD MEDICARE
WA
Enumeration date
08/20/2007
Last updated
04/02/2008
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