Phyllis T. Dunckel MD

NPI 1003813627 - Family Medicine - 207Q00000X

NPI Details
NPI 1003813627
Gender Female
Enumeration Date 06/29/2005
Last Updated 02/19/2014
Entity Type Individual
Active Over 12 years ago
Practice Location
600 NE 8TH ST
GRESHAM OR, 97030-7317, US
Phone (503) 988-5155
Fax (503) 988-5185
Business Location
421 SW OAK ST.
STE. 210
Phone (503) 988-7468
Fax (503) 988-3015
Taxonomy Code 207Q00000X
License State Washington
License Number MD00031114
Remove 1003813627 NPI Number

According to our database, Phyllis T. Dunckel MD NPI is 1003813627, taxonomy code is 207Q00000X and license number is MD00031114, license state is located at Washington. Phyllis T. Dunckel MD physically located at 600 Ne 8th St, Gresham OR, 97030-7317. NPI Number Phyllis T. Dunckel MD has the Individual type.

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1003813627 NPI number is provided on an as is basis without warranty of any kind. 1003813627 is maintained by the National Plan & Provider Enumeration System. The contents of Phyllis T. Dunckel MD are for informational purposes only.