Kurtis A Phillipi, is a
Licensed Practical Nurse based in Troutdale, Oregon. Kurtis A Phillipi is licensed to practice in Oregon (license number 200930555LPN) and his current practice location is
3745 Se 317th Ave, Troutdale, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 663-1436.
NPI number for Kurtis A Phillipi is 1699205005 and his current mailing address is 745 Se 17th St, Troutdale, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699205005.
Provider's Profile
| Full Name | Kurtis A Phillipi |
|---|
| Gender | Male |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 3745 Se 317th Ave, Troutdale, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699205005
- Provider Enumeration Date: 06/18/2017
- Last Update Date: 06/18/2017
Medical Identifiers
Medical identifiers for Kurtis A Phillipi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699205005 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 200930555LPN (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kurtis A Phillipi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kurtis A Phillipi,
745 Se 17th St,
Troutdale, OR 97060-2247
Ph: () - | Kurtis A Phillipi,
3745 Se 317th Ave,
Troutdale, OR 97060-9401
Ph: (503) 663-1436 |
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