Basic Information
Provider Information
NPI: 1053494849
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCDOWELL
FirstName: ALMA
MiddleName: LYNN
NamePrefix:  
NameSuffix:  
Credential:  
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Mailing Information
Address1: 15205 SW WARBLER WAY APT 104
Address2:  
City: BEAVERTON
State: OR
PostalCode: 970079189
CountryCode: US
TelephoneNumber: 5032681084
FaxNumber:  
Practice Location
Address1: 1245 EDGEWATER ST NW
Address2:  
City: SALEM
State: OR
PostalCode: 973044049
CountryCode: US
TelephoneNumber: 5035885816
FaxNumber: 5035885803
Other Information
ProviderEnumerationDate: 10/23/2006
LastUpdateDate: 05/16/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X  N Behavioral Health & Social Service ProvidersCounselorMental Health
101YP2500XC2146ORY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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