Individual
DR. CAROLYN M PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1112 NE 21ST AVE, SUITE 6, PORTLAND, OR 97232-2595
(503) 335-1113
(503) 334-4333
Mailing address
1112 NE 21ST AVE, SUITE 6, PORTLAND, OR 97232-2595
(503) 335-1113
(503) 334-4333
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD150022
OR
Other
Enumeration date
06/20/2007
Last updated
07/08/2011
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