MEDICARE: MARIA PHILIPPI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker	115695	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760340079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA PHILIPPI

Provider Business Mailing Address
First Line	:	2074 S 6TH ST
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97601-3372
Country	:	US
Telephone Number	:	541-851-8110
Fax Number	:

Provider Business Practice Location Address
First Line	:	2074 S 6TH ST
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97601-3372
Country	:	US
Telephone Number	:	541-851-8110
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “ MARIA PHILIPPI ” Practice Location

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