Individual ProviderDawn Lynn PhillipsDietitian, RegisteredDietary & Nutritional Service ProvidersPractice Address10700 SW Beaverton Hillsdale Hwy Ste 560, Beaverton, OR 97005-4791(503) 853-1388PECOS EnrollmentBased on the most recent information from CMS, provider Dawn Lynn Phillips does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1487290508Provider TypeIndividualFull NamePhillips, Dawn LynnCredentialRDNGenderFemaleSole ProprietorYesEnumeration Date11/24/2019Last Updated3/14/2023Contact InformationPractice LocationPractice Address10700 SW Beaverton Hillsdale Hwy Ste 560, Beaverton, OR 97005-4791Phone(503) 853-1388Fax(866) 761-7512Mailing LocationMailing Address4951 Business Park Blvd, Anchorage, AK 99503-7174Phone(503) 853-1388Fax(866) 761-7512Provider TaxonomiesCodeDescriptionLicenseCode133V00000XPrimaryDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseUnlisted IssuerCode133V00000XDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicense10207892Oregon