Basic Information
Provider Information
NPI: 1265538268
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCPHEE
FirstName: CYNTHIA
MiddleName: ANN
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: SPIEKERMAN
OtherFirstName: CYNTHIA
OtherMiddleName: ANN
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 19400 NW EVERGREEN PKWY
Address2:  
City: HILLSBORO
State: OR
PostalCode: 971247031
CountryCode: US
TelephoneNumber: 5038132000
FaxNumber:  
Practice Location
Address1: 19400 NW EVERGREEN PKWY
Address2:  
City: HILLSBORO
State: OR
PostalCode: 971247031
CountryCode: US
TelephoneNumber: 5038132000
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/16/2006
LastUpdateDate: 07/11/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XMD23380ORY Allopathic & Osteopathic PhysiciansPediatrics 
208000000XMD00040521WAN Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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