Philip Jerrell Menagh

NPI #1922151778 in Corvallis, Oregon

Provider Information

NPI Number: 1922151778
Entity Type: Individual
Name: Philip Jerrell Menagh
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1330 NW 11TH ST
City: Corvallis
State: Oregon
ZIP Code: 97330-4619
Phone: (503) 544-1613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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