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1750437265
MICHAEL PHILLIPS
PORTLAND, OR
NPI
1750437265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR 171m00000x)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
-- MICHAEL PHILLIPS
506 NE THOMPSON ST
PORTLAND, OR 97212-3843
Phone number: 503-380-2541
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Mailing Address
-- MICHAEL PHILLIPS
506 NE THOMPSON ST
PORTLAND, OR 97212-3843
Phone number:
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