person
Durrell J Bolds
Mental Health Counselor in Portland, Oregon
NPI 1366960890

Durrell J Bolds is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Durrell J Bolds practices in Portland, OR. The NPI Number for Durrell J Bolds is 1366960890 and holds a License No. (Oregon).

The current practice location address for Durrell J Bolds is 15208 Se Tibbetts St, Portland, OR and can be reached out via phone at 503-760-0959 and via fax at 503-761-0041.

Location: 15208 Se Tibbetts St, Portland, OR, 97504-4004
person
Provider Profile Details
NPI Number
1366960890
Provider Name
Durrell J Bolds
Credential
Provider Entity Type
Individual
Gender
Male
Address
15208 Se Tibbetts St, Portland, OR, 97504-4004
Phone Number
503-760-0959
Fax Number
503-761-0041
Provider Enumeration Date
09/05/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15208 Se Tibbetts St
City
State
Zip
97236-2356
Phone Number
503-760-0959
Fax Number
503-761-0041
person
Provider Business Mailing Address Details
Address
15208 Se Tibbetts St
City
State
Zip
97236-2356
Phone Number
503-760-0959
Fax Number
503-761-0041
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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