Mason Clark Boucher
Mason Clark Boucher is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
2236 SE Belmont StPortland, OR 97214-2817
Phone: (503) 445-7699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1154879781 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 12, 2016 |
| Last updated in NPPES | May 15, 2020 |
| Certification date | May 15, 2020 |
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