Individual
BOBBY NORMAN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1250 SW VETERANS WAY STE 120, REDMOND, OR 97756-2588
(541) 383-3005
(541) 383-1883
Mailing address
PO BOX 4228, PORTLAND, OR 97208-4228
(541) 383-3005
(541) 383-1883
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
T0026
OR
106H00000X
Marriage & Family Therapist
Primary
T0026
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500690175
—
OR
Enumeration date
11/22/2006
Last updated
10/29/2024
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