Individual
EVAN DUANE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 PIER 1, STE. 308, ASTORIA, OR 97103-6300
(503) 325-1588
Mailing address
PO BOX 179, SEAVIEW, WA 98644-0179
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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