Individual
DR. CARRIE ANNE PHILLIPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5700
Mailing address
707 SW GAINES ST, MAIL CODE CDRC-P, PORTLAND, OR 97239-2901
(503) 494-0191
(503) 494-1542
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD25240
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233402
—
OR
Enumeration date
12/04/2006
Last updated
08/10/2007
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