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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891021960 NPPES
Oregon MEDICAID 500627898
Oregon Other 8L6630

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