Individual
JENNIFER PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-2151
Mailing address
15285 SW SPARROW LOOP UNIT 104, BEAVERTON, OR 97007-9267
(503) 989-1126
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201390357RN
OR
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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