NPI 1003564741

Christopher A. Phillips

Practitioner Peer Specialist Portland, OR

Practice location

Address: 3910 SE Stark St, Portland, OR 97214-2278
Phone: (503) 228-9229
Mailing address: 10564 SE Washington St, Portland, OR 97216-2809

Registered specialties (3)

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 21-CRM-572 (OR)

Other Peer Specialist providers in Oregon →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

Other Counselor providers in Oregon →

Peer Specialist

Other Service Providers Taxonomy 175T00000X

Registry record

NPI: 1003564741
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Mar 2022
Record last updated: 11 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.