Individual provider · Type 1 NPI

Phillip A. Broyles, CADCII

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1295164432 Active

Practice location

3945 SE Hawthorne Blvd
Portland, OR 97214-5241

Call (503) 719-5250 Map

Fax (503) 715-5672

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X050351 (OR)

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

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About NPI 1295164432

Phillip A. Broyles, CADCII's National Provider Identifier is 1295164432, issued on Nov 7, 2013. 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 Nov 7, 2013.