Phifer, Kerry E M
Phifer, Kerry E M is an individual health care provider with primary practice located at 1700 Nw Civic Dr Suite 301, Gresham OR 97030-3770. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Phifer, Kerry E M can be contacted via phone (503) 666-8832.Contact Information
Primary practice address
1700 Nw Civic Dr Suite 301
Gresham OR 97030-3770
Phone: (503) 666-8832
Fax: (503) 669-8641
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 200650118NP | Oregon |
Profile Details
NPI number | 1447336037 |
---|---|
LBN Legal business name | Phifer, Kerry E M |
Credentials | PMHNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 27th, 2006 |
Last updated | Feb 27th, 2018 - about 6 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 | 1447336037 | NPPES |
Oregon | MEDICAID | 164936 |
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