Individual
SAGE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20370 POE SHOLES DR, BEND, OR 97703-7938
(541) 306-6455
Mailing address
20370 POE SHOLES DR, BEND, OR 97703-7938
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10006330
OR
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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