Dr. Peter G. Phillips, PS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00002231 Issued in WA

Legal business name

DR. PETER G. PHILLIPS, PS

Practice address

8308 E Mill Plain Blvd
102
Vancouver, WA 98664-2007

Phone

(360) 694-1118

Fax

(360) 694-1979

NPI assigned

Aug 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Peter George Phillips, D.C.

Title

Ceo

Phone

(360) 694-1118

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1043403413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8308 E MILL PLAIN BLVD",
            "address_2": "102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986642007",
            "telephone_number": "360-694-1118",
            "fax_number": "360-694-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8308 E MILL PLAIN BLVD",
            "address_2": "102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986642007",
            "telephone_number": "360-694-1118",
            "fax_number": "360-694-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PETER G. PHILLIPS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-694-1118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00261964",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Vancouver, WA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.