Provider Demographics
NPI:1609996651
Name:PHELPS, ANNA-MARIA MERIWETHER (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNA-MARIA
Middle Name:MERIWETHER
Last Name:PHELPS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3600 NW SAMARITAN DR
Mailing Address - Street 2:GOOD SAMARITAN REGIONAL MEDICAL CENTER
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-3737
Mailing Address - Country:US
Mailing Address - Phone:541-768-5026
Mailing Address - Fax:541-768-5047
Practice Address - Street 1:3600 NW SAMARITAN DR
Practice Address - Street 2:GOOD SAMARITAN REGIONAL MEDICAL CENTER
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-3737
Practice Address - Country:US
Practice Address - Phone:541-768-5026
Practice Address - Fax:541-768-5047
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2008-05-13
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Provider Licenses
StateLicense IDTaxonomies
ORMD19000207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR073148Medicaid
ORH01568Medicare UPIN
ORR104883Medicare PIN
OR220029817Medicare PIN