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General NPI Number Information
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NPI Number | 1598127144
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Entity Type | Individual
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Provider Name | JESSICA LYNN HADWIN PHILLIPS M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 14795 SW MURRAY SCHOLLS DR STE 109
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City | BEAVERTON
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State | OR
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Zip | 97007-9230
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Country | US
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Telephone | 503-906-4301
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Fax | 503-906-6613
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Provider Business Mailing Address
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Address Line | 11782 SW BARNES RD STE 300
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City | PORTLAND
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State | OR
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Zip | 97225-5933
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Country | US
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Telephone | 503-214-5200
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Fax | 503-906-6613
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD208675
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | DR.0066562
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | DR.0066562
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License Number State | CO
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