Individual provider · Type 1 NPI

Durrell J. Bolds

Mental Health Counselor · Portland, OR

NPI number 1366960890 Active

Practice location

15208 SE Tibbetts St
Portland, OR 97236-2356

Fax (503) 761-0041

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1366960890

Durrell J. Bolds's National Provider Identifier is 1366960890, issued on Sep 5, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Sep 5, 2017.