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Fannie Phillips, LMT
Specialist in Gresham, Oregon
NPI 1073065017

Fannie Phillips is a Specialist based in Gresham, OR. Fannie Phillips practices in Gresham, OR and has the professional credentials of LMT. The NPI Number for Fannie Phillips is 1073065017 and holds a License No. 15141 (Oregon).

The current practice location address for Fannie Phillips is 1748 Nw Fairview Dr, Gresham, OR and can be reached out via phone at 503-492-3910.

Location: 1748 Nw Fairview Dr, Gresham, OR, 97030-3842
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073065017
Provider Name
Fannie Phillips
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1748 Nw Fairview Dr, Gresham, OR, 97030-3842
Phone Number
503-492-3910
Fax Number
Provider Enumeration Date
10/25/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
225700000X 01 OR LMT
0000000 01 OR HMO
institution
Provider Business Practice Location Address Details
Address
1748 Nw Fairview Dr
City
Gresham
State
Oregon
Zip
97030-3842
Phone Number
503-492-3910
Fax Number
person
Provider Business Mailing Address Details
Address
1748 Nw Fairview Dr
City
Gresham
State
Oregon
Zip
97030-3842
Phone Number
503-492-3910
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
15141 (Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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