Individual
PHYLLIS E ADJEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
990 NW CIRCLE BLVD STE 102, CORVALLIS, OR 97330-1967
(541) 768-5486
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
474458
CA
163WW0000X
Wound Care Registered Nurse
474458
CA
363L00000X
Nurse Practitioner
95005914
CA
363LF0000X
Family Nurse Practitioner
Primary
10011900APRN-NP
OR
Other
Enumeration date
08/22/2016
Last updated
11/22/2024
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