Tyler James Boulanger
Tyler James Boulanger is a Counseling Psychologist in Portland, Oregon. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
4212 SE Division StPortland, OR 97206-1680
Phone: (503) 238-0705
Fax: (503) 236-7166
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Specialties & licences
| Counseling Psychologist (primary) | Taxonomy 103TC1900X |
|---|
Record details
| NPI number | 1700486586 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 29, 2020 |
| Last updated in NPPES | August 21, 2022 |
| Certification date | August 21, 2022 |
| Mailing address | 4212 Se Division St, Portland, OR 97206-1680 |
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