Individual
BOB DORSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17150 UNIVERSITY AVE, SANDY, OR 97055-9290
(503) 668-5001
Mailing address
1980 SW 2ND DR, GRESHAM, OR 97080-6758
(503) 667-6289
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1488
OR
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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