Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS PHILLIPS, MD
ActiveNICHOLAS PHILLIPS, MD is a Sports Medicine (EM) healthcare provider located in CORVALLIS, Oregon. NPI 1770803892 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (EM) · CORVALLIS, OR
Registration Details
- NPI Number
- 1770803892
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2010 (16.209917238073 yrs)
- Last Updated
- Jan 14, 2021
- Licenses
-
MD169780 (OR)MD169780 (OR)
Practice Information
- Address
-
845 SW 30TH STCORVALLIS, OR, 973318629Browse OR providers · Browse ZIP 97331
- Phone
- 5417687700
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
- Additional Specialty
- Sports Medicine (EM)
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.