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1104509983
PHILIP JOHN MAGGI
PORTLAND, OR
NPI
1104509983
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2023-08-09
Last Update Date
2023-08-09
Business Address
PHILIP JOHN MAGGI
3036 NE MLK JR BLVD
PORTLAND, OR 97212-3053
Phone number: 503-283-3763
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Mailing Address
PHILIP JOHN MAGGI
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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