Philip Broesamle
Philip Broesamle is an Addiction (Substance Use Disorder) Counselor in Shady Cove, Oregon. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
60 Mallory LnShady Cove, OR 97539
Phone: (541) 878-2658
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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 |
|---|
Record details
| NPI number | 1427444264 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 8, 2015 |
| Last updated in NPPES | April 8, 2015 |