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CASSONDRA LYNNE PHILLIPSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
15780 NW HARRYS PL, BANKS, OR 97106-8419
(503) 593-9599
Mailing address
15780 NW HARRYS PL, BANKS, OR 97106-8419
(503) 593-9599

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10086
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500676171
OR
Enumeration date
07/21/2014
Last updated
03/19/2026
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