person
Phillip A Broyles, CADCII
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1295164432

Phillip A Broyles is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Phillip A Broyles practices in Portland, OR and has the professional credentials of CADCII. The NPI Number for Phillip A Broyles is 1295164432 and holds a License No. 050351 (Oregon).

The current practice location address for Phillip A Broyles is 3945 Se Hawthorne Blvd, Portland, OR and can be reached out via phone at 503-719-5250 and via fax at 503-715-5672.

Location: 3945 Se Hawthorne Blvd, Portland, OR, 97214-5241
person
Provider Profile Details
NPI Number
1295164432
Provider Name
Phillip A Broyles
Credential
CADCII
Provider Entity Type
Individual
Gender
Male
Address
3945 Se Hawthorne Blvd, Portland, OR, 97214-5241
Phone Number
503-719-5250
Fax Number
503-715-5672
Provider Enumeration Date
11/07/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3945 Se Hawthorne Blvd
City
State
Zip
97214-5241
Phone Number
503-719-5250
Fax Number
503-715-5672
person
Provider Business Mailing Address Details
Address
3945 Se Hawthorne Blvd
City
State
Zip
97214-5241
Phone Number
503-719-5250
Fax Number
503-715-5672
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
050351 (Oregon)
Definition
Definition to come...
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