Individual
JENNIFER PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
743 LAWRENCE ST, EUGENE, OR 97401
(541) 343-2044
Mailing address
141 E FOURTH AVE, PO BOX 68, SUTHERLIN, OR 97479-0068
(541) 680-9898
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15269
OR
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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