Individual
PHOENIX SENNA NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
530 WELCH ST, SILVERTON, OR 97381-1946
(503) 874-6026
Mailing address
530 WELCH ST, SILVERTON, OR 97381-1946
(503) 874-6026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD27493
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274363
—
OR
Enumeration date
01/27/2006
Last updated
08/27/2012
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