Individual
MICHELLE NOELLE PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2589 NW EDENBOWER BLVD, ROSEBURG, OR 97471-6224
(541) 672-8533
Mailing address
12295 LOOKINGGLASS RD, ROSEBURG, OR 97471-8972
(559) 202-6910
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202002287
OR
363LF0000X
Family Nurse Practitioner
F03190119
CA
Other
Enumeration date
03/06/2019
Last updated
08/08/2023
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