Individual provider · Type 1 NPI

Christopher A. Phillips

Peer Specialist · Portland, OR

NPI number 1003564741 Active

Practice location

3910 SE Stark St
Portland, OR 97214-2278

Call (503) 228-9229 Map

Mailing address

10564 SE Washington St
Portland, OR 97216-2809

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Peer Specialist 175T00000XNone listed
Peer Specialist Primary 175T00000X21-CRM-572 (OR)

Peer Specialist: 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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About NPI 1003564741

Christopher A. Phillips's National Provider Identifier is 1003564741, issued on Mar 11, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Mar 11, 2022.