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1699966689

NPI Code Detail

MEDICARE: PHILLIP M DOVE

MEDICARE: PHILLIP M DOVE

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	207R00000X	Internal Medicine Physician	49890	AL
2	207R00000X	Internal Medicine Physician	2025003432	MO
3	207R00000X	Internal Medicine Physician	C3453	KY
4	207R00000X	Internal Medicine Physician	35C.002018	OH
5	207R00000X	Internal Medicine Physician	44657	OK
6	207R00000X	Internal Medicine Physician	MD157489	OR
7	207R00000X	Internal Medicine Physician	102314	GA
8	207R00000X	Internal Medicine Physician	01095251A	IN
9	207R00000X	Internal Medicine Physician	34326	MS
10	207R00000X	Internal Medicine Physician	MMD.95392	SC
11	207R00000X	Internal Medicine Physician	36172778	IL
12	207R00000X	Internal Medicine Physician	75436	AZ
13	207R00000X	Internal Medicine Physician	72878	TN
14	207R00000X	Internal Medicine Physician	MD60152937	WA
15	207R00000X	Internal Medicine Physician	14188850-1235	UT

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	G8892632	OTHER	WA	PTAN

General Provider Information

NPI Number	:	1699966689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILLIP M DOVE

Provider Business Mailing Address
First Line	:	PO BOX 3300
Second Line	:
City	:	LA PINE
State	:	OR
Zip	:	97739-3300
Country	:	US
Telephone Number	:	541-536-3435
Fax Number	:	541-536-8047

Provider Business Practice Location Address
First Line	:	1220 MAIN ST STE 400
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98660-2963
Country	:	US
Telephone Number	:	866-849-0692
Fax Number	:

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

Provider Enumeration Date	:	08/06/2007
Last Update Date	:	10/27/2025

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Directions to “ PHILLIP M DOVE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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