Individual provider · Type 1 NPI

Paulie Phillips

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1962012526 Active

Practice location

5415 SW Westgate Dr
Portland, OR 97221-2409

Call (503) 645-3581 Map

Fax (503) 629-8517

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XRBT-18-65885 (AR)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1962012526

Paulie Phillips's National Provider Identifier is 1962012526, issued on Aug 7, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Jul 21, 2025.