Phillips, Athena

Phillips, Athena is an sole proprietor health care provider with primary practice located at 3583 Ne Broadway St , Portland OR 97232-1820. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Phillips, Athena can be contacted via phone (503) 819-4181.

Contact Information

Primary practice address
3583 Ne Broadway St Portland OR 97232-1820
Phone: (503) 819-4181
Fax: (503) 827-0299
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X L4462 Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X L4462 Oregon

Profile Details

NPI number 1174859458
LBN Legal business name Phillips, Athena
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2009
Last updated Oct 21st, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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