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

MS. Willow Mae Bolen, WILLOWBOLEN

Individual provider Counselor · NPI 1306971510

MS. Willow Mae Bolen, WILLOWBOLEN is a Counselor in Portland, Oregon. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

2410 SE 121st Ave #216
Portland, OR 97216-4066
Phone: (503) 724-1006
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1306971510
Entity typeIndividual (Type 1)
GenderFemale
Credentials WILLOWBOLEN
Sole proprietorNo
NPI enumeratedFebruary 21, 2007
Last updated in NPPESJuly 8, 2007

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