PHILLIP A BROYLES CADCII NPI 1295164432

NPI Information

NPI: 1295164432
Provider Name: PHILLIP A BROYLES, CADCII
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3945 SE HAWTHORNE BLVD
PORTLAND, OR
ZIP 97214
Phone: (503) 719-5250
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Phillip A Broyles, CADCII is an addiction (substance use disorder) counselor in Portland, OR. Phillip A Broyles, CADCII NPI is 1295164432. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3945 SE HAWTHORNE BLVD
PORTLAND, OR
ZIP 97214-241
Phone: (503) 719-5250
Fax: (503) 715-5672

The enumeration date for this NPI number is 11/7/2013 and was last updated on 11/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	050351	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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