# ANNIE MUNSON-PHELPS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700319803
- **Authorized official:** MS. ANNE MUNSON-PHELPS LMFT (MARRIAGE AND FAMILY THERAPIST)
- **Authorized official phone:** (503) 956-8907

## Contact information

- **Practice address:** 1135 SE SALMON ST, \#102, PORTLAND, OR 97214-3375
- **Practice address phone:** (503) 956-8907
- **Mailing address:** 5603 SE 54TH AVE, PORTLAND, OR 97206-5661
- **Mailing address phone:** (503) 956-8907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | T1254 | OR | Yes |

## Other

- **Enumeration date:** 04/05/2017
- **Last updated:** 04/05/2017
