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

Philip John Maggi

Individual provider Peer Specialist · NPI 1104509983

Philip John Maggi is a Peer Specialist in Portland, Oregon. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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Practice location Address checks out

3036 NE Mlk Jr Blvd
Portland, OR 97212-3053
Phone: (503) 283-3763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1104509983
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 9, 2023
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023

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