Individual
CHRISTOPHER A. PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3910 SE STARK ST, PORTLAND, OR 97214-2278
(503) 228-9229
Mailing address
10564 SE WASHINGTON ST, PORTLAND, OR 97216-2809
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
21-CRM-572
OR
175T00000X
Peer Specialist
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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