JERRY PHILLIPS

PORTLAND, OR
NPI1831489574
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence:   professionallicense)
Enumeration Date2011-04-14
Last Update Date2025-05-12
Business Address
JERRY PHILLIPS
17710 NE HALSEY ST
PORTLAND, OR 97230-6734
Phone number: 503-305-6296
Mailing Address
JERRY PHILLIPS
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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