Organization Name: | PHILIP R HALVORSEN, MD, PLLC |
NPI Number: | 1740452051 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PHILIP ROY HALVORSEN (OWNER) |
Mailing Address: | 969 Stevens Dr Suite 3a Richland |
State: | WA US |
Postal Code: | 993523525 |
Phone Number: | 5099468696 |
Fax Number: | 5099468646 |
NPI Enumeration Date: | 03/26/2008 |
NPI Last Update Date: | 03/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD00025724 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |