Active NPI
Robert Phillips
- Clinical Social Worker
- Beaverton, OR
National Provider Identifier
1124993977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- A18269
- Practice address
- 16365 NW Twin Oaks Drive
Suite 200
Beaverton, OR 97006 - Phone
- (503) 828-3402
- NPI assigned
- Oct 9, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | A18269 | OR | Primary |
Addresses
Primary practice location
16365 NW Twin Oaks Drive
Suite 200
Beaverton, OR 97006
Mailing address
16365 NW Twin Oaks Drive
Suite 200
Beaverton, OR 97006
Other names 1
- RS Phillips
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1124993977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16365 NW TWIN OAKS DRIVE",
"address_2": "SUITE 200",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "97006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16365 NW TWIN OAKS DRIVE",
"address_2": "SUITE 200",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "97006",
"telephone_number": "503-828-3402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-10-09",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "A18269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RS",
"last_name": "PHILLIPS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.