Provider Demographics
NPI:1083599500
Name:NORMAN, FRANKLIN MAURICE
Entity type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:MAURICE
Last Name:NORMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16063 SE FLAVEL DR
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97236-4879
Mailing Address - Country:US
Mailing Address - Phone:564-244-0859
Mailing Address - Fax:
Practice Address - Street 1:6905 N INTERSTATE AVE APT 105
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-5468
Practice Address - Country:US
Practice Address - Phone:564-244-0859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health