Organization
RONALD O POWELL PHD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROALD O POWELL PHD (OWNER)
(425) 214-3609
Entity
Organization
Contact information
Practice address
8201 164TH AVE NE STE 200, REDMOND, WA 98052-7615
(425) 214-3609
Mailing address
8201 164TH AVE NE STE 200, REDMOND, WA 98052-7615
(425) 214-3609
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PY00001122
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275923534
NATIONAL PLAN AND PROVIDER ENUMERATION
WA
Enumeration date
01/26/2015
Last updated
03/17/2015
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