Individual
TABITHA ROSE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
1086 7TH AVE SW STE 101, ALBANY, OR 97321-1954
(541) 812-3330
Mailing address
9915 STONECREST DR S, SALEM, OR 97306-9458
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/18/2014
Last updated
02/20/2024
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