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1124231535
IAN POWELL
BEAVERTON, OR
NPI
1124231535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 11865)
Enumeration Date
2007-05-08
Last Update Date
2007-07-08
Business Address
-- IAN POWELL M.S., CCC-SLP
12555 SW 3RD ST
BEAVERTON, OR 97005-0517
Phone number: 503-789-3218
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Mailing Address
-- IAN POWELL M.S., CCC-SLP
64696 E LUPINE DR
RHODODENDRON, OR 97049-9770
Phone number: 503-789-3218
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