Most Relevant Information
Provider Data
| NPI Number: | 1003564741 |
| Provider Name: | CHRISTOPHER A. PHILLIPS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/11/2022 |
| Last Updated: | 03/11/2022 |
Provider Practice Location
3910 SE STARK ST
PORTLAND
OR
972142278
Practice Location Phone/Fax
| Phone: | 5032289229 |
| Fax: |
Provider Mailing Location
10564 SE WASHINGTON ST
PORTLAND
OR
972162809
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |