Jason Phillips, PA-C

NPI 1992878946 · on the registry since 2006

Practice

Address: 2301 W A St
Moscow, ID 83843
Phone: (208) 883-1135
Fax: (208) 892-0174
Organisation at this address: Gritman Medical Center Inc
Palouse Oral & Maxillofacial Surgery
Educational And Psychological Services, A P.L.L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 363AS0400X
363AS0400X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-02-27

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 Idaho