Individual
COURTNEY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
551 LONE PINE BLVD, SUITE 302, THE DALLES, OR 97058-9403
(541) 506-6500
(540) 506-6501
Mailing address
551 LONE PINE BLVD, SUITE 302, THE DALLES, OR 97058-9403
(541) 506-6500
(540) 506-6501
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
A160512820
WA
2255A2300X
Athletic Trainer
Primary
AT-AT-10145402
OR
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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