Individual provider · Type 1 NPI

Phillip Spencer Blomberg, CADC-I

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1588056964 Active

Practice location

18088 SE Market
Portland, OR 97233

Call (503) 760-1003 Map

Fax (503) 492-7379

Mailing address

1027 E. Burnside St.
Portland, OR 97214

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14-09-01 (OR)

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

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About NPI 1588056964

Phillip Spencer Blomberg, CADC-I's National Provider Identifier is 1588056964, issued on Feb 23, 2015. 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 Feb 23, 2015.