person
Mason Clark Boucher
Mental Health Counselor in Portland, Oregon
NPI 1154879781

Mason Clark Boucher is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Mason Clark Boucher practices in Portland, OR. The NPI Number for Mason Clark Boucher is 1154879781 and holds a License No. (Oregon).

The current practice location address for Mason Clark Boucher is 2236 Se Belmont St, Portland, OR and can be reached out via phone at 503-445-7699.

Location: 2236 Se Belmont St, Portland, OR, 97207-8459
person
Provider Profile Details
NPI Number
1154879781
Provider Name
Mason Clark Boucher
Credential
Provider Entity Type
Individual
Gender
Female
Address
2236 Se Belmont St, Portland, OR, 97207-8459
Phone Number
503-445-7699
Fax Number
Provider Enumeration Date
09/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2236 Se Belmont St
City
State
Zip
97214-2817
Phone Number
503-445-7699
Fax Number
person
Provider Business Mailing Address Details
Address
2236 Se Belmont St
City
State
Zip
97214-2817
Phone Number
503-445-7699
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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