Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jerrod David Boles, LPC

Individual provider Mental Health Counselor · NPI 1962646133

Mr. Jerrod David Boles, LPC is a Mental Health Counselor in Clackamas, Oregon. Licensed in Oregon. Registered with an NPI since 2009.

Licensed in
OR
In the registry since
2009
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone: (503) 571-0860
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence C4544 (OR)

Record details

NPI number1962646133
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedApril 30, 2009
Last updated in NPPESDecember 30, 2021
Certification dateDecember 30, 2021
Mailing address10180 Se Sunnyside Rd, Clackamas, OR 97015-8970

Other providers in Clackamas