DURRELL J BOLDS NPI 1366960890

NPI Information

Durrell J Bolds is a mental health counselor in Portland, OR. Durrell J Bolds NPI is 1366960890. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15208 SE TIBBETTS ST
PORTLAND, OR
ZIP 97236-356
Phone: (503) 760-0959
Fax: (503) 761-0041

The enumeration date for this NPI number is 9/5/2017 and was last updated on 9/5/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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