Individual
MR. PHILIP F BROWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC 1
Contact information
Practice address
2074 SO. 6TH ST., KLAMATH FALLS, OR 97601
(541) 851-8110
(541) 883-3524
Mailing address
2074 SO. 6TH ST., KLAMATH FALLS, OR 97601
(541) 880-2086
(541) 883-3524
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19-01-14
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114058898
—
OR
Enumeration date
04/12/2017
Last updated
03/23/2021
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