Christopher A Phillips, is a
Peer Specialist based in Portland, Oregon. Christopher A Phillips is licensed to practice in Oregon (license number 21-CRM-572) and his current practice location is
3910 Se Stark St, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 228-9229.
NPI number for Christopher A Phillips is 1003564741 and his current mailing address is 10564 Se Washington St, Portland, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003564741.
Healthcare Provider's Profile
| Full Name | Christopher A Phillips |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 3910 Se Stark St, Portland, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1003564741
- Provider Enumeration Date: 03/11/2022
- Last Update Date: 03/11/2022
Medical Identifiers
Medical identifiers for Christopher A Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003564741 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | 21-CRM-572 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christopher A Phillips is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Christopher A Phillips,
10564 Se Washington St,
Portland, OR 97216-2809
Ph: () - | Christopher A Phillips,
3910 Se Stark St,
Portland, OR 97214-2278
Ph: (503) 228-9229 |
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