Philip Broesamle

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1427444264

Philip Broesamle is an Addiction (Substance Use Disorder) Counselor in Shady Cove, Oregon. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since: 2015

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

60 Mallory Ln
Shady Cove, OR 97539
Phone: (541) 878-2658

Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary)	Taxonomy 101YA0400X

Record details

NPI number	1427444264
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	April 8, 2015
Last updated in NPPES	April 8, 2015
Mailing address	Po Box 323, Shady Cove, OR 97539