person
Lucas Benjamin Boumann
Peer Specialist in Portland, Oregon
NPI 1528562642

Lucas Benjamin Boumann is a Peer Specialist based in Portland, OR. Lucas Benjamin Boumann practices in Portland, OR. The NPI Number for Lucas Benjamin Boumann is 1528562642 and holds a License No. (Oregon).

The current practice location address for Lucas Benjamin Boumann is 10564 Se Washington St, Portland, OR and can be reached out via phone at 971-373-1406.

Location: 10564 Se Washington St, Portland, OR, 97216-2809
person
Provider Profile Details
NPI Number
1528562642
Provider Name
Lucas Benjamin Boumann
Credential
Provider Entity Type
Individual
Gender
Male
Address
10564 Se Washington St, Portland, OR, 97216-2809
Phone Number
971-373-1406
Fax Number
Provider Enumeration Date
03/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10564 Se Washington St
City
State
Zip
97216-2809
Phone Number
971-373-1406
Fax Number
person
Provider Business Mailing Address Details
Address
10564 Se Washington St
City
State
Zip
97216-2809
Phone Number
971-373-1406
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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