Phillip Broyles, CADCII

NPI 1295164432 · on the registry since 2013

Practice

Address: 3945 Se Hawthorne Blvd
Portland, OR 97214
Phone: (503) 719-5250
Fax: (503) 715-5672
Organisation at this address: Sheri Blue, Llc
Teras Interventions And Counseling
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-11-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon