SearchOregon101YS0200X

Maurice Phillips

NPI 1306724117 · on the registry since 2025 · sole proprietor

Practice

Address
18435 Ne Glisan St Apt 12
Portland, OR 97230
Phone
(503) 516-4470

Registry record

Primary taxonomy
101YS0200X
101YS0200X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon