PHILIP JOHN MAGGI

PORTLAND, OR
NPI1104509983
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2023-08-09
Last Update Date2023-08-09
Business Address
PHILIP JOHN MAGGI
3036 NE MLK JR BLVD
PORTLAND, OR 97212-3053
Phone number: 503-283-3763
Mailing Address
PHILIP JOHN MAGGI
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: