Individual
PHIL MUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17214 SE DIVISION ST, SUITE 2, PORTLAND, OR 97236-1282
(503) 761-5272
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819
(503) 233-5405
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/30/2011
Last updated
06/29/2015
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