Individual
JASON LEE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.T. (R) (ARRT)
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
7572 VIRGINIA LN, VANCOUVER, WA 98664-2170
(360) 597-3719
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
442285
OR
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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