Jennifer Ashley Phillips III

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5120 SE 118TH Ave
Portland, OR 97266-3250

Phone

(503) 762-3431

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598895708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5524 SE 115TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972663902",
            "telephone_number": "503-761-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 SE 118TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972663250",
            "telephone_number": "503-762-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JENNIFER",
        "middle_name": "ASHLEY",
        "name_prefix": "Ms.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacinda Lee Phillips
• Jack Austin Phillips
• Jason Lee Phillips, R.T. (R) (ARRT)
• Jeffrey Eric Phillips
• Jennifer Phillips, RNFA
• Jerry Phillips
• Jordan A Phillips, DO
• Julia Aretha Phillips, LCSW
• Kailee Payton Phillips, ND
• Katharine Brandt Phillips, PT

• Case Manager/Care Coordinator in Portland, OR
• Providers in Portland, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.