Individual
PHILLIP SQUIBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1803 MAIN ST, KLAMATH FALLS, OR 97601-2636
(541) 591-4384
Mailing address
PO BOX 62, KLAMATH FALLS, OR 97601-0004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6673
OR
1041S0200X
School Social Worker
—
—
Other
Enumeration date
09/28/2011
Last updated
01/23/2026
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