Cybele Whitney Phillips, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC177817 Issued in OR

Practice address

7831 SE Lake Rd Ste 102
Milwaukie, OR 97267-2193

Phone

(206) 683-7789

NPI assigned

Oct 31, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053863530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7831 SE LAKE RD STE 102",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972672193",
            "telephone_number": "206-683-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7831 SE LAKE RD STE 102",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972672193",
            "telephone_number": "206-683-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CYBELE",
        "middle_name": "WHITNEY",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC177817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Petrie, LPC
• Nikobi Petronelli
• Amy Leann Pfunder, MSW, LICSW, LCSW
• Rebecca Pham, PHARMD, RPH
• Philip J. Korten O.D.
• Marcy Jean Phillips, OTR/L
• Marissa Kayann Phillips
• Physiotherapy Associates, Inc.
• Cathy Renae Pickett
• Calle Ann Pierson, PSYD

• Acupuncturist in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.