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Individual

ROBERT GRANT PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
3325 HAROLD DR NE, SALEM, OR 97305-1339
(503) 363-2021
Mailing address
1683 SUNRISE CIR NW, SALEM, OR 97304-1116

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
05/16/2007
Last updated
09/11/2025
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