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
Fax: (503) 669-8641
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447336037 NPPES
Oregon MEDICAID 164936

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