ANTHONY DERRAL PHILLIPS (RN, BSN) – Registered Nurse, NPI 1245475813

ANTHONY DERRAL PHILLIPS (RN, BSN) is a healthcare provider. based in Jacksonville, Oregon. specializing in Registered Nurse. They hold the professional credentials RN, BSN. They hold a License No. 099006484RN (OR). The NPI Number for ANTHONY DERRAL PHILLIPS (RN, BSN) is 1245475813

Main info

Male
Sole Proprietor
Name
ANTHONY DERRAL PHILLIPS (RN, BSN)
NPI
1245475813
Phone
(541) 899-4911
Address
300 CHINA GULCH RD
Enumeration Date
10 December 2008
Last Update Date
10 December 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for ANTHONY DERRAL PHILLIPS (RN, BSN)

  • 300 CHINA GULCH RD

    JACKSONVILLE, OR 975309744

    Phone: (541) 899-4911

    Fax: (541) 899-4911

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97530)

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Reviews

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Frequently asked questions

Is ANTHONY DERRAL PHILLIPS (RN, BSN) listed with a National Provider Identifier?
Yes — ANTHONY DERRAL PHILLIPS (RN, BSN) has NPI 1245475813 on file in the registry.
Would ANTHONY DERRAL PHILLIPS (RN, BSN) appear as active to a payer?
You can treat ANTHONY DERRAL PHILLIPS (RN, BSN) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is ANTHONY DERRAL PHILLIPS (RN, BSN)?
ANTHONY DERRAL PHILLIPS (RN, BSN) is associated with Registered Nurse in the directory — Clinical services aligned with this taxonomy classification.
Is ANTHONY DERRAL PHILLIPS (RN, BSN) located near Jacksonville?
ANTHONY DERRAL PHILLIPS (RN, BSN) currently maps to Jacksonville, Oregon in this extract.
When was this NPI issued?
Enumeration for ANTHONY DERRAL PHILLIPS (RN, BSN) is noted as December 10, 2008 where the registry provides it.

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