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Contact Information

MARK C PHILLIPS, MD
860 N MYRTLE RD
MYRTLE CREEK, OR97457-9626
 Phone: 541-863-3410
 Fax: 541-863-6435
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for MARK C PHILLIPS · (Male)

NPI # 1275568735
Status Active
Credentials MD
Entity Individual
Enumeration date 07/12/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # MD18731
  • OR Medicaid 065586
  • OR Other MD18731 STATE LICENSE #
Hospital affiliation(s)
  • MERCY MEDICAL CENTER - (Acute Care)
    2700 NW STEWART PARKWAY
    ROSEBURG, OR 97471
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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