Individual
MARCY JEAN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9615 SE STANLEY AVE, MILWAUKIE, OR 97222-4242
(907) 750-2967
Mailing address
9615 SE STANLEY AVE, MILWAUKIE, OR 97222-4242
(907) 750-2967
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
338615
OR
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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