person
Mr. Phillip Spencer Blomberg, CADC-I
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1588056964

Phillip Spencer Blomberg is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Phillip Spencer Blomberg practices in Portland, OR and has the professional credentials of CADC-I. The NPI Number for Phillip Spencer Blomberg is 1588056964 and holds a License No. 14-09-01 (Oregon).

The current practice location address for Phillip Spencer Blomberg is 18088 Se Market, Portland, OR and can be reached out via phone at 503-760-1003 and via fax at 503-492-7379.

Location: 18088 Se Market, Portland, OR, 97214
person
Provider Profile Details
NPI Number
1588056964
Provider Name
Phillip Spencer Blomberg
Credential
CADC-I
Provider Entity Type
Individual
Gender
Male
Address
18088 Se Market, Portland, OR, 97214
Phone Number
503-760-1003
Fax Number
503-492-7379
Provider Enumeration Date
02/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18088 Se Market
City
State
Zip
97233
Phone Number
503-760-1003
Fax Number
503-492-7379
person
Provider Business Mailing Address Details
Address
18088 Se Market
City
State
Zip
97233
Phone Number
503-760-1003
Fax Number
503-492-7379
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
14-09-01 (Oregon)
Definition
Definition to come...
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