person
Jerry Phillips
Mental Health Counselor in Milwaukie, Oregon
NPI 1831489574

Jerry Phillips is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Jerry Phillips practices in Milwaukie, OR. The NPI Number for Jerry Phillips is 1831489574 and holds a License No. (Oregon).

The current practice location address for Jerry Phillips is 11458 Se Mceachron Ave, Milwaukie, OR and can be reached out via phone at 503-305-6296 and via fax at 503-387-5279. You can also correspond with Jerry Phillips through the mailing address at 3587 HEATHROW WAY, MEDFORD, OR - 97504-4004 (mailing address contact number: 541-858-8170).

Location: 11458 Se Mceachron Ave, Milwaukie, OR, 97504-4004
person
Provider Profile Details
NPI Number
1831489574
Provider Name
Jerry Phillips
Credential
Provider Entity Type
Individual
Gender
Male
Address
11458 Se Mceachron Ave, Milwaukie, OR, 97504-4004
Phone Number
503-305-6296
Fax Number
503-387-5279
Provider Enumeration Date
04/14/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11458 Se Mceachron Ave
City
State
Zip
97222
Phone Number
503-305-6296
Fax Number
503-387-5279
person
Provider Business Mailing Address Details
Address
11458 Se Mceachron Ave
City
State
Zip
97222
Phone Number
503-305-6296
Fax Number
503-387-5279
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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