Individual
CLAIRE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
155 SE WINDANCE CT, BEND, OR 97702-1550
(541) 280-8907
Mailing address
155 SE WINDANCE CT, BEND, OR 97702-1550
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
383
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015268
STATE OF OREGON SLP LICENSE
OR
05
—
SP 0048
—
AK
Enumeration date
04/10/2012
Last updated
06/28/2017
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