Individual provider · Type 1 NPI

Lindsay Ann Bolerjack

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1063779650 Active

Practice location

2415 SE 43rd Ave Ste 100
Portland, OR 97206-1666

Call (503) 238-0705 Map

Fax (503) 236-7166

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1063779650

Lindsay Ann Bolerjack's National Provider Identifier is 1063779650, issued on Apr 19, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Apr 19, 2012.