Individual
CAROLYN RAE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2545 N WINCHELL ST, PORTLAND, OR 97217
(503) 978-1725
(503) 978-7233
Mailing address
2545 N WINCHELL ST, PORTLAND, OR 97217
(503) 978-1725
(503) 978-7233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3357
OR
Other
Enumeration date
09/20/2006
Last updated
11/11/2025
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