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Mr. Scott C Bolen, QMHA
Mental Health Counselor in Portland, Oregon
NPI 1336285105

Scott C Bolen is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Scott C Bolen practices in Portland, OR and has the professional credentials of QMHA. The NPI Number for Scott C Bolen is 1336285105 and holds a License No. (Oregon).

The current practice location address for Scott C Bolen is 3909 Se 70Th Ave, Portland, OR and can be reached out via phone at 503-777-2278.

Location: 3909 Se 70Th Ave, Portland, OR, 97217-7205
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Provider Profile Details
NPI Number
1336285105
Provider Name
Scott C Bolen
Credential
QMHA
Provider Entity Type
Individual
Gender
Male
Address
3909 Se 70Th Ave, Portland, OR, 97217-7205
Phone Number
503-777-2278
Fax Number
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
171M00000X 01 OR Q.M.H.A.
institution
Provider Business Practice Location Address Details
Address
3909 Se 70Th Ave
City
State
Zip
97206-2525
Phone Number
503-777-2278
Fax Number
person
Provider Business Mailing Address Details
Address
3909 Se 70Th Ave
City
State
Zip
97206-2525
Phone Number
503-777-2278
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Oregon)
Definition
Definition to come...
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