Individual
DR. JAMES BALDWIN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
505 NE 2ND ST, GRESHAM, OR 97030-7511
(503) 669-1040
Mailing address
5020 SE 27TH ST, GRESHAM, OR 97080-8237
(503) 663-2293
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1160
OR
103TC0700X
Clinical Psychologist
1160
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132295
OMAP PROVIDER NUMBER
OR
Enumeration date
04/04/2007
Last updated
09/11/2025
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