Individual
ASHLEY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
630 MILUK DR, COOS BAY, OR 97420-7728
(541) 888-9494
Mailing address
1290 FORD LN, NORTH BEND, OR 97459-2444
(541) 294-7215
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10026813
OR
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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