DURRELL J BOLDS

PORTLAND, OR
NPI1366960890
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-09-05
Last Update Date2017-09-05
Business Address
DURRELL J BOLDS
15208 SE TIBBETTS ST
PORTLAND, OR 97236-2356
Phone number: 503-760-0959
Mailing Address
DURRELL J BOLDS
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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