Individual
DR. EDWARD S PHINNEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9155 SW BARNES RD, STE 217, PORTLAND, OR 97225-6625
(503) 297-1548
(503) 297-0230
Mailing address
3439 NE SANDY BLVD, PMB 375, PORTLAND, OR 97232-1959
(503) 284-8841
(503) 282-3302
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD13227
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178269
—
OR
Enumeration date
09/02/2005
Last updated
10/11/2007
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