Individual
DR. ANDREW PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-0990
(503) 494-4982
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-0990
(503) 494-4982
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
A102402
CA
2085R0202X
Diagnostic Radiology Physician
A102402
CA
2085R0202X
Diagnostic Radiology Physician
Primary
MD197196
OR
208D00000X
General Practice Physician
A102402
CA
Other
Enumeration date
05/22/2008
Last updated
07/21/2020
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