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FANNIE PHILLIPS LMT
NPI 1073065017
Specialist in Gresham, OR

Active since October 25, 2016
1748 NW FAIRVIEW DR, GRESHAM, OR 97030(503) 492-3910 Get Directions Write a Review

NPPES record last updated: October 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fannie Phillips Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FANNIE PHILLIPS LMT (NPI 1073065017) is an individual specialist in Gresham, Oregon, licensed in Oregon (15141) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1073065017
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameFANNIE PHILLIPSCredential: LMT
Location Address1748 NW FAIRVIEW DRGresham, OR 97030-3842
Mailing Address1748 Nw Fairview DrGresham, OR 97030-3842 · (503) 492-3910
Phone(503) 492-3910
Sole ProprietorYes
Enumeration DateOctober 25, 2016
✔ NPI 1073065017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OR · 15141
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1748 NW FAIRVIEW DR, Gresham, OR 97030
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Other Identifiers 2

Other225700000XOR · Lmt
Other0000000OR · Hmo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA MURHPY MT
Specialist
1748 NW FAIRVIEW DR
GRESHAM, OR 97030
Multnomah County (503) 492-3910
KYLE PALADENI LMT
Specialist
1748 NW FAIRVIEW DR
GRESHAM, OR 97030
Multnomah County (503) 724-0378
SHANNON STEELE
Specialist
1748 NW FAIRVIEW DR
GRESHAM, OR 97030
Multnomah County (503) 492-3910
GRESHAM THERAPEUTIC MASSAGE CENTER
Specialist
1748 NW FAIRVIEW DR
GRESHAM, OR 97030
Multnomah County (503) 492-3910
GRESHAM THERAPEUTIC MASSAGE CENTER
Home Health
1748 NW FAIRVIEW DR
GRESHAM, OR 97030
Multnomah County (503) 492-3910
GRESHAM THERAPEUTIC MASSAGE CENTER
Public Health or Welfare
1748 NW FAIRVIEW DR
GRESHAM, OR 97030
Multnomah County (503) 492-3910
GRESHAM THERAPEUTIC MASSAGE CENTER
Home Health
1748 NW FAIRVIEW DR
GRESHAM, OR 97030
Multnomah County (503) 492-3910
JENNIFER TELLEZ LMT
Specialist
1748 NW FAIRVIEW DR
GRESHAM, OR 97030
Multnomah County (503) 492-3910

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fannie Phillips's NPI number?

The NPI number for Fannie Phillips is 1073065017. It was assigned to this individual provider in the NPPES registry on October 25, 2016.

Where is Fannie Phillips located?

Fannie Phillips practices at 1748 NW Fairview Dr, Gresham, OR 97030. The listed phone number is (503) 492-3910.

What is Fannie Phillips's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Fannie Phillips accept?

Health plans from Regence BlueCross BlueShield of Oregon list Fannie Phillips as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fannie Phillips was last updated on October 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.