person
Phylicia Butler
Peer Specialist in Portland, Oregon
NPI 1255117990

Phylicia Butler is a Peer Specialist based in Portland, OR. Phylicia Butler practices in Portland, OR. The NPI Number for Phylicia Butler is 1255117990 and holds a License No. THW000109546 (Oregon).

The current practice location address for Phylicia Butler is 209 Sw 4Th Ave Ste 520, Portland, OR and can be reached out via phone at 971-271-1221 and via fax at 503-988-4386.

Location: 209 Sw 4Th Ave Ste 520, Portland, OR, 97204-1825
person
Provider Profile Details
NPI Number
1255117990
Provider Name
Phylicia Butler
Credential
Provider Entity Type
Individual
Gender
Female
Address
209 Sw 4Th Ave Ste 520, Portland, OR, 97204-1825
Phone Number
971-271-1221
Fax Number
503-988-4386
Provider Enumeration Date
09/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
209 Sw 4Th Ave Ste 520
City
State
Zip
97204-1825
Phone Number
971-271-1221
Fax Number
503-988-4386
person
Provider Business Mailing Address Details
Address
209 Sw 4Th Ave Ste 520
City
State
Zip
97204-1825
Phone Number
971-271-1221
Fax Number
503-988-4386
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
THW000109546 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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