Jimmie Phillips JR.

NPI #1104251586 in Newberg, Oregon

Provider Information

NPI Number: 1104251586
Entity Type: Individual
Name: Jimmie Phillips JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Sep 4, 2013
Last Updated: Sep 4, 2013

Practice Location

Address: 3001 N MERIDIAN ST
City: Newberg
State: Oregon
ZIP Code: 97132-6027
Phone: (503) 330-6203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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