Active NPI
Maurice Phillips Jr.
- School Counselor
- Portland, OR
National Provider Identifier
1306724117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 518465
- Practice address
- 18435 NE Glisan St Apt 12
Portland, OR 97230-7276 - Phone
- (503) 516-4470
- NPI assigned
- Aug 21, 2025
- Last updated
- Aug 21, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 518465 | OR | Primary |
Addresses
Primary practice location
18435 NE Glisan St Apt 12
Portland, OR 97230-7276
Mailing address
18435 NE Glisan St Apt 12
Portland, OR 97230-7276
Phone (503) 516-4470
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 518465 | OR | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1306724117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18435 NE GLISAN ST APT 12",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972307276",
"telephone_number": "503-516-4470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18435 NE GLISAN ST APT 12",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972307276",
"telephone_number": "503-516-4470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "MAURICE",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-08-21",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "OR",
"license": "518465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.