Individual
RONALD O. POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8201 164TH AVE NE, SUITE 200, REDMOND, WA 98052-7615
(425) 214-3609
Mailing address
8201 164TH AVE NE, SUITE 200, REDMOND, WA 98052-7615
(425) 214-3609
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00001122
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083767495
NATIONAL PLAN AND PROVIDER ENUMERATION
WA
Enumeration date
01/19/2007
Last updated
03/17/2015
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