Phillips, Anthony Derral

Phillips, Anthony Derral is an sole proprietor health care provider with primary practice located at 300 China Gulch Rd , Jacksonville OR 97530-9744. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Oncology, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is his primary health care specialty. Phillips, Anthony Derral can be contacted via phone (541) 899-4911.

Contact Information

Primary practice address
300 China Gulch Rd Jacksonville OR 97530-9744
Phone: (541) 899-4911
Fax: (541) 899-4911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Oncology 163WX0200X 099006484RN Oregon
Nursing Service Providers / Registered Nurse 163W00000X 099006484RN Oregon

Profile Details

NPI number 1245475813
LBN Legal business name Phillips, Anthony Derral
Credentials RN, BSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2008
Last updated Dec 10th, 2008 - about 18 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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