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PHILLIP PHI DO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
11425 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3050
(503) 526-1800
Mailing address
11425 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3050
(503) 526-1800

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PI0011345
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
00148094
OR

Other

Enumeration date
06/26/2015
Last updated
05/02/2017
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