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-- ANTHONY DERRAL PHILLIPS -- RN, BSN

Individual Provider (NPI-1) Active

Registered Nurse

Provider Information

NPI Number
1245475813
Provider Type
Individual Provider (NPI-1)
Credentials
RN, BSN
Status
Active

Contact & Location

Address
300 CHINA GULCH RD, JACKSONVILLE, OR, 975309744
Phone
(541) 899-4911
Fax
(541) 899-4911

Specialties & Taxonomies

Registered Nurse, Oncology License: OR #099006484RN
Registered Nurse Primary License: OR #099006484RN

All Addresses

MAILING

300 CHINA GULCH RD

JACKSONVILLE, OR, 975309744

(541) 899-4911

LOCATION

300 CHINA GULCH RD

JACKSONVILLE, OR, 975309744

(541) 899-4911