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Contact Information

PHILLIP A LETOURNEAU, MD
10330 SE 32ND AVE STE 210
MILWAUKIE, OR97222-6594
 Phone: 503-723-6525
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PHILLIP A LETOURNEAU · (Male)

NPI # 1891021960
Status Active
Credentials MD
Entity Individual
Enumeration date 10/26/2009
Last updated 02/10/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD166131
  • OR Medicaid 500627898
  • TX Other 8L6630 MEDICARE PTAN
Hospital affiliation(s)
  • MID-COLUMBIA MEDICAL CENTER - (Acute Care)
    1700 E 19TH STREET
    THE DALLES, OR 97058
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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