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1295164432
PHILLIP A BROYLES
PORTLAND, OR
NPI
1295164432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 050351)
Enumeration Date
2013-11-07
Last Update Date
2013-11-07
Business Address
-- PHILLIP A BROYLES CADCII
3945 SE HAWTHORNE BLVD
PORTLAND, OR 97214-5241
Phone number: 503-719-5250
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Mailing Address
-- PHILLIP A BROYLES CADCII
3945 SE HAWTHORNE BLVD
PORTLAND, OR 97214-5241
Phone number: 503-719-5250
Copy
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