Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry Phillips

Individual provider Mental Health Counselor · NPI 1831489574

Jerry Phillips is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

17710 NE Halsey St
Portland, OR 97230-6734
Phone: (503) 305-6296
Fax: (503) 387-5279
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence PROFESSIONALLICENSE

Record details

NPI number1831489574
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2011
Last updated in NPPESMay 12, 2025

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