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1215630108
TIMOTHY JAMES PHILLIPS
CORVALLIS, OR
NPI
1215630108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2023-03-22
Last Update Date
2023-03-22
Business Address
TIMOTHY JAMES PHILLIPS
530 NW 5TH ST
CORVALLIS, OR 97330-6419
Phone number: 541-753-3333
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Mailing Address
TIMOTHY JAMES PHILLIPS
659 SW JEFFERSON AVE APT 1
CORVALLIS, OR 97333-4554
Phone number: 541-360-1462
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