Individual
RICHARD LEE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT/L
Contact information
Practice address
14255 SW BRIGADOON CT, SUITE 80, BEAVERTON, OR 97005-3369
(503) 641-1475
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
677013
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/01/2010
Last updated
08/20/2012
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