Philip Broesamle
NPI #1427444264 in Shady Cove, Oregon
Provider Information
- NPI Number
- 1427444264
- Entity Type
- Individual
- Name
- Philip Broesamle
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Apr 8, 2015
- Last Updated
- Apr 8, 2015
Practice Location
- Address
- 60 MALLORY LN.
- City
- Shady Cove
- State
- Oregon
- ZIP Code
- 97539
- Phone
- (541) 878-2658
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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