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Mr. Brian Wayne Phifer
Addiction (Substance Use Disorder) Counselor in Coburg, Oregon
NPI 1598318230

Brian Wayne Phifer is an Addiction (Substance Use Disorder) Counselor based in Eugene, OR and is specialized in Addiction (Substance Use Disorder). Brian Wayne Phifer practices in Coburg, OR. The NPI Number for Brian Wayne Phifer is 1598318230 and holds a License No. (Oregon).

The current practice location address for Brian Wayne Phifer is 1 Serenity Ln, Coburg, OR and can be reached out via phone at 541-687-1110.

Location: 1 Serenity Ln, Coburg, OR, 97402-8236
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598318230
Provider Name
Brian Wayne Phifer
Credential
Provider Entity Type
Individual
Gender
Male
Address
1 Serenity Ln, Coburg, OR, 97402-8236
Phone Number
541-687-1110
Fax Number
Provider Enumeration Date
07/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Serenity Ln
City
Coburg
State
Oregon
Zip
97408-9350
Phone Number
541-687-1110
Fax Number
person
Provider Business Mailing Address Details
Address
1 Serenity Ln
City
Coburg
State
Oregon
Zip
97408-9350
Phone Number
541-687-1110
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
T-20-424 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
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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