GRAHAM A PHELPS

PROVIDENCE HEALTH AND SERVICES OREGON

Dr GRAHAM A PHELPS is a male medical professional, specializing in Nurse Practitioner. He graduated in 2013 from University Of Illinois At Chicago Health Science Center.

Contact

PROVIDENCE HEALTH AND SERVICES OREGON

16180 SE SUNNYSIDE RD
102 PROV MED GR HAP VALL
HAPPY VALLEY
OR
970156379

Tel: 5035824900

GRAHAM A PHELPS Information

Npi 1114358033
Pac Id 1850520503
Professional Enrollment Id I20160426002128
Last Name PHELPS
First Name GRAHAM
Middle Name A
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER
Graduation Year 2013
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE HEALTH AND SERVICES OREGON
Group Practice Pac Id 0648183608
Number Of Group Practice Members 1139
Line 1 Street Address 16180 SE SUNNYSIDE RD
Line 2 Street Address 102 PROV MED GR HAP VALL
Marker Of Address Line 2 Suppression
City HAPPY VALLEY
State OR
Zip Code 970156379
Phone Number 5035824900
Hospital Affiliation Ccn 1 380082
Hospital Affiliation Lbn 1 PROVIDENCE MILWAUKIE HOSPITAL
Hospital Affiliation Ccn 2 380061
Hospital Affiliation Lbn 2 PROVIDENCE PORTLAND MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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