Individual
TIMOTHY JAMES PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 NW 5TH ST, CORVALLIS, OR 97330-6419
(541) 753-3333
Mailing address
659 SW JEFFERSON AVE APT 1, CORVALLIS, OR 97333-4554
(541) 360-1462
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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