Individual
MR. JAMES LOGAN PHILLIPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503
(541) 826-2111
Mailing address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
—
OR
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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