Individual
PAULIE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
(503) 645-3581
(503) 629-8517
Mailing address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
(503) 645-3581
(503) 629-8517
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-18-65885
AR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
07/21/2025
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