Doctor Name: | PHIL SALINA |
NPI Number: | 1043679277 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 2808 Se Balfour St Milwaukie, OR - 972226426 |
Business Phone Number: | 5036592575 |
Business Fax Number: | 5036595182 |
Mailing Address: | 3587 Heathrow Way, MEDFORD |
State: | OR |
Postal Code: | 975044004 |
Phone Number: | 6318278279 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2016 |
NPI Last Update Date: | 02/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |