Letourneau, Phillip Andrew
Letourneau, Phillip Andrew is an individual health care provider with primary practice located at 10330 Se 32Nd Ave Ste 210 , Milwaukie OR 97222-6594. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Letourneau, Phillip Andrew can be contacted via phone (503) 723-6525.Contact Information
Primary practice address
10330 Se 32Nd Ave Ste 210
Milwaukie OR 97222-6594
Phone: (503) 723-6525
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | MD166131 | Oregon |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD166131 | Oregon |
Profile Details
| NPI number | 1891021960 |
|---|---|
| LBN Legal business name | Letourneau, Phillip Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2009 |
| Last updated | Feb 10th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891021960 | NPPES |
| Oregon | MEDICAID | 500627898 | |
| Oregon | Other | 8L6630 |
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