PHILIP JOHN DEGRAFFENREID

PORTLAND, OR
NPI1053046722
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  22-QMHP-R-1438)
Enumeration Date2022-07-18
Last Update Date2022-07-18
Business Address
PHILIP JOHN DEGRAFFENREID
33 NW BROADWAY
PORTLAND, OR 97209-3580
Phone number: 503-228-7134
Mailing Address
PHILIP JOHN DEGRAFFENREID
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-294-1681
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