Provider Demographics
NPI:1477914216
Name:PHILLIPS, KAREN ANN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ANN
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7420 SW HART PL
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008-6231
Mailing Address - Country:US
Mailing Address - Phone:971-727-5379
Mailing Address - Fax:
Practice Address - Street 1:8927 W TUCANNON AVE
Practice Address - Street 2:SUITE #103
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7176
Practice Address - Country:US
Practice Address - Phone:844-943-9565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-07
Last Update Date:2019-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional