Individual
THOMAS A PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19260 SW 65TH AVE, STE 280, TUALATIN, OR 97062-5708
(503) 692-2850
(503) 692-4465
Mailing address
19260 SW 65TH AVE, STE 280, TUALATIN, OR 97062-5708
(503) 692-2850
(503) 692-4465
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
14730
OR
2084N0400X
Neurology Physician
MD14730
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175778
—
OR
Enumeration date
06/14/2005
Last updated
11/12/2021
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