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Courtney Phoenix
NPI 1770265969 · on the registry since 2023 · sole proprietor
Practice
- Address
- 620 Ne 20th Ave Apt 421
Portland, OR 97232 - Phone
- (971) 420-7802
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon