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Mrs. Phyllis A Pengelly, WHNP
Women's Health Nurse Practitioner in Bend, Oregon
NPI 1265468912

Phyllis A Pengelly is a Women's Health Nurse Practitioner based in Portland, OR and is specialized in Women's Health. Phyllis A Pengelly practices in Bend, OR and has the professional credentials of WHNP. The NPI Number for Phyllis A Pengelly is 1265468912 and holds a License No. 200350128NP (Oregon).

The current practice location address for Phyllis A Pengelly is 2330 Ne Division St, Bend, OR and can be reached out via phone at 503-775-4931 and via fax at 503-788-7285.

Location: 2330 Ne Division St, Bend, OR, 97212-1112
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Provider Profile Details
NPI Number
1265468912
Provider Name
Phyllis A Pengelly
Credential
WHNP
Provider Entity Type
Individual
Gender
Female
Address
2330 Ne Division St, Bend, OR, 97212-1112
Phone Number
503-775-4931
Fax Number
503-788-7285
Provider Enumeration Date
06/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
270097 05 OR
institution
Provider Business Practice Location Address Details
Address
2330 Ne Division St
City
State
Zip
97701-3530
Phone Number
503-775-4931
Fax Number
503-788-7285
person
Provider Business Mailing Address Details
Address
2330 Ne Division St
City
State
Zip
97701-3530
Phone Number
503-775-4931
Fax Number
503-788-7285
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
200350128NP (Oregon)
Definition
Definition to come...
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