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JERRY PHILLIPS
NPI 1831489574
Counselor - Mental Health in Portland, OR

Active since April 14, 2011
17710 NE HALSEY ST, PORTLAND, OR 97230(503) 305-6296(503) 387-5279 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2025, Jun 21, 2019, Oct 19, 2016 and 1 more (4 updates tracked since 2016).

About Jerry Phillips NPPES

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

JERRY PHILLIPS (NPI 1831489574) is an individual mental health provider in Portland, Oregon, licensed in (PROFESSIONALLICENSE) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1831489574
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJERRY PHILLIPS
Location Address17710 NE HALSEY STPortland, OR 97230-6734
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170
Phone(503) 305-6296
Fax(503) 387-5279
Sole ProprietorNo
Enumeration DateApril 14, 2011
Last NPPES UpdateMay 12, 20254 updates tracked since enumeration
✔ NPI 1831489574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed · PROFESSIONALLICENSE
17710 NE HALSEY ST, Portland, OR 97230
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Other Providers at the Same Location NPPES 20

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

JOSHUA DANIEL BENNETT
Counselor (Mental Health)
17710 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (971) 293-3468
DANE ACHALAS
Counselor (Mental Health)
17710 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (971) 293-3468
RACHEL POWELL
Counselor (Mental Health)
17710 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 328-8311
MAKEATHA WILLIAMS
Counselor (Mental Health)
17710 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 305-6296
BRAD BOYCE
Counselor (Mental Health)
17710 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (971) 293-3468
KAREN LYNNE TAYLOR
Counselor (Mental Health)
17710 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (971) 293-3468
AMBER RACHELE HARRISON
Counselor (Mental Health)
17710 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 305-6296
MELISSA ANNE GRETEMAN
Counselor (Mental Health)
17710 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (971) 293-3468

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 Jerry Phillips's NPI number?

The NPI number for Jerry Phillips is 1831489574. It was assigned to this individual provider in the NPPES registry on April 14, 2011.

Where is Jerry Phillips located?

Jerry Phillips practices at 17710 NE Halsey St, Portland, OR 97230. The listed phone number is (503) 305-6296.

What is Jerry Phillips's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jerry Phillips was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.