Individual
PHILIP JOSEPH ROSS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
527 2ND ST, WOODLAND, WA 98674-8486
(360) 225-8911
(360) 225-8527
Mailing address
75332 MOUNTAIN VIEW DR, CLATSKANIE, OR 97016-2511
(360) 560-2045
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60971774
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
03/02/2019
Last updated
10/17/2019
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