Individual provider · Type 1 NPI

Ann Bouma

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1194497669 Active

Practice location

2901 E Burnside St
Portland, OR 97214-1831

Call (503) 238-5203 Map

Mailing address

6424 NE Going St Unit A
Portland, OR 97218-3138

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 1194497669

Ann Bouma's National Provider Identifier is 1194497669, issued on Oct 1, 2021. 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 Oct 1, 2021.