Individual
SARA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2600 CENTER ST NE, PSYCHOLOGY DEPARTMENT, SALEM, OR 97301-2669
(503) 947-8001
Mailing address
2600 CENTER ST NE, PSYCHOLOGY DEPARTMENT, SALEM, OR 97301-2669
(503) 947-8001
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
2249
OR
103TC0700X
Clinical Psychologist
Primary
2249
OR
Other
Enumeration date
03/18/2014
Last updated
11/17/2015
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