Individual provider · Type 1 NPI

Jonathan Boisvert

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1619521887 Active

Practice location

6200 SE King Rd
Portland, OR 97222-2891

Call (503) 546-6377 Map

Mailing address

214 N Stafford St
Portland, OR 97217-1542

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 1619521887

Jonathan Boisvert's National Provider Identifier is 1619521887, issued on Jul 26, 2019. 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 17, 2019.