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NPI Code Detail

MEDICARE: DR. PHIL PHILLIPS LPC

MEDICARE: DR. PHIL PHILLIPS LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorMC60169539WA
2101Y00000XCounselorC5976OR
3101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1295121291
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PHIL PHILLIPS LPC
Provider Business Mailing Address
First Line : 32360 NW WASCOE ST
Second Line :
City : NORTH PLAINS
State : OR
Zip : 97133-8135
Country : US
Telephone Number : 253-661-7314
Fax Number :
Provider Business Practice Location Address
First Line : 8280 NE MAUZEY CT
Second Line :
City : HILLSBORO
State : OR
Zip : 97124-9092
Country : US
Telephone Number : 503-439-9531
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2015
Last Update Date : 04/07/2025

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