Philip John Degraffenreid
Philip John Degraffenreid is a Mental Health Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2022.
- Licensed in
- OR
- In the registry since
- 2022
Practice location Address checks out
33 NW BroadwayPortland, OR 97209-3580
Phone: (503) 228-7134
Fax: (503) 501-5679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 22-QMHP-R-1438 (OR) |
|---|
Record details
| NPI number | 1053046722 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 18, 2022 |
| Last updated in NPPES | July 18, 2022 |
| Certification date | July 18, 2022 |
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