Powell, Bobby Norman
Powell, Bobby Norman is an individual health care provider with primary practice located at 1250 Sw Veterans Way Ste 120 , Redmond OR 97756-2588. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Powell, Bobby Norman can be contacted via phone (541) 383-3005.Contact Information
Primary practice address
1250 Sw Veterans Way Ste 120
Redmond OR 97756-2588
Phone: (541) 383-3005
Fax: (541) 383-1883
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | T0026 | Oregon |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | T0026 | Oregon |
Profile Details
NPI number | 1689749558 |
---|---|
LBN Legal business name | Powell, Bobby Norman |
Credentials | LMFT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 22nd, 2006 |
Last updated | Jul 18th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689749558 | NPPES |
Oregon | MEDICAID | 500690175 |
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