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TIMOTHY JAMES PHILLIPS
NPI 1215630108
Peer Specialist in Corvallis, OR

Active since March 22, 2023
530 NW 5TH ST, CORVALLIS, OR 97330(541) 753-3333 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy James Phillips NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY JAMES PHILLIPS (NPI 1215630108) is an individual peer specialist in Corvallis, Oregon and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1215630108
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameTIMOTHY JAMES PHILLIPS
Location Address530 NW 5TH STCorvallis, OR 97330-6419
Mailing Address659 Sw Jefferson Ave Apt 1Corvallis, OR 97333-4554 · (541) 360-1462
Phone(541) 753-3333
Sole ProprietorYes
Enumeration DateMarch 22, 2023
NPPES CertifiedMarch 22, 2023
✔ NPI 1215630108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
530 NW 5TH ST, Corvallis, OR 97330
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH RYAN LARSON CADC-R
Counselor (Professional)
530 NW 5TH ST
CORVALLIS, OR 97330
Benton County (541) 753-3333
FAMILY RECOVERY, INC.
Substance Abuse Rehabilitation Facility
530 NW 5TH ST
CORVALLIS, OR 97330
Benton County (541) 753-3333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Phillips's NPI number?

The NPI number for Timothy Phillips is 1215630108. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Timothy Phillips located?

Timothy Phillips practices at 530 NW 5th St, Corvallis, OR 97330. The listed phone number is (541) 753-3333.

What is Timothy Phillips's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Timothy Phillips was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.