Individual provider · Type 1 NPI

Philip John Maggi

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1104509983 Active

Practice location

3036 NE Mlk Jr Blvd
Portland, OR 97212-3053

Call (503) 283-3763 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104509983

Philip John Maggi's National Provider Identifier is 1104509983, issued on Aug 9, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Aug 9, 2023.