Individual
SYDNEY PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1720 COOKS HILL RD, CENTRALIA, WA 98531-9071
(360) 827-8100
Mailing address
3210 22ND AVE APT 6, FOREST GROVE, OR 97116-1933
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.PA.61485375
WA
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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