Individual provider · Type 1 NPI

Fannie Phillips, LMT

Specialist · Gresham, OR

NPI number 1073065017 Active

Practice location

1748 NW Fairview Dr
Gresham, OR 97030-3842

Call (503) 492-3910 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X15141 (OR)

Specialist: 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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About NPI 1073065017

Fannie Phillips, LMT's National Provider Identifier is 1073065017, issued on Oct 25, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Gresham, OR. The record was last updated on Oct 25, 2016.