Individual
PHOEBE CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10920 SW BARBUR BLVD, PORTLAND, OR 97219-8600
(503) 676-5482
Mailing address
6200 SE SALMON ST, PORTLAND, OR 97215-2822
(541) 787-7747
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500679014
—
OR
Enumeration date
12/19/2018
Last updated
06/11/2024
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