Individual
MAURICE PHILLIPS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18435 NE GLISAN ST APT 12, PORTLAND, OR 97230-7276
(503) 516-4470
Mailing address
18435 NE GLISAN ST APT 12, PORTLAND, OR 97230-7276
(503) 516-4470
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
518465
OR
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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