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Phyllis Stewart, CADCII
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1972582666

Phyllis Stewart is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Phyllis Stewart practices in Portland, OR and has the professional credentials of CADCII. The NPI Number for Phyllis Stewart is 1972582666 and holds a License No. 94-10-133 (Oregon).

The current practice location address for Phyllis Stewart is 1776 Sw Madison St, Portland, OR and can be reached out via phone at 503-224-1044 and via fax at 503-621-2235. You can also correspond with Phyllis Stewart through the mailing address at 17645 NW SAINT HELENS RD, PORTLAND, OR - 97231-1729 (mailing address contact number: 503-621-1069).

Location: 1776 Sw Madison St, Portland, OR, 97231-1729
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Provider Profile Details
NPI Number
1972582666
Provider Name
Phyllis Stewart
Credential
CADCII
Provider Entity Type
Individual
Gender
Female
Address
1776 Sw Madison St, Portland, OR, 97231-1729
Phone Number
503-224-1044
Fax Number
503-621-2235
Provider Enumeration Date
01/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
126370 05 OR
institution
Provider Business Practice Location Address Details
Address
1776 Sw Madison St
City
State
Zip
97205-1715
Phone Number
503-224-1044
Fax Number
503-621-2235
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Provider Business Mailing Address Details
Address
17645 Nw Saint Helens Rd
City
State
Zip
97231-1729
Phone Number
503-621-1069
Fax Number
503-621-0200
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
94-10-133 (Oregon)
Definition
Definition to come...
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