Individual
MR. GALEN LESLIE PHIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
150 SHELTON MCMURPHEY BLVD STE 101, EUGENE, OR 97401-5015
(541) 210-8090
Mailing address
PO BOX 346, MCKENZIE BRIDGE, OR 97413-0346
(541) 822-9833
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1619
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500661233
—
OR
Enumeration date
12/17/2009
Last updated
09/12/2015
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