| Doctor Name: | MISS PHYLLIS LEPPKE HANSELL |
| NPI Number: | 1023101631 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 200050032NP |
| Business Practice Address: | 1312 Sw 2nd St Pendleton, OR - 978014160 |
| Business Phone Number: | 5412788183 |
| Business Fax Number: | 5412784597 |
| Mailing Address: | 600 Nw 11th St #e37, HERMISTON |
| State: | OR |
| Postal Code: | 978388604 |
| Phone Number: | 5415675305 |
| Fax Number: | 5416673487 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 07/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 200050032NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |