Individual
MICHAEL KEITH PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16083 SW UPPER BOONES FERRY RD, SUITE 320, TIGARD, OR 97224-7736
(503) 603-9087
(503) 603-9122
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 320, TIGARD, OR 97224-7736
(503) 603-9087
(503) 603-9122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD166497
OR
Other
Enumeration date
06/16/2011
Last updated
02/03/2015
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