Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS PHILLIPS, MD
Active Sole ProprietorNICHOLAS PHILLIPS, MD is a Psychiatric Neurology healthcare provider located in CLARKSTON, Washington. NPI 1720406291 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Neurology · CLARKSTON, WA
Registration Details
- NPI Number
- 1720406291
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 2, 2014 (12.40062111456 yrs)
- Last Updated
- Jul 11, 2022
- Licenses
-
10344697-1205 (UT)10344697-1205 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
302 5TH ST STE 3CLARKSTON, WA, 994031803Browse WA providers · Browse ZIP 99403
- Phone
- 5097692211
- Fax
- 5097692210
- Primary Specialty
-
Psychiatric Neurology
2084P0804X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Psychiatric Neurology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.