MR. SCOTT C BOLEN


Address: 3909 Se 70th Ave, Portland, OR 97206-2525
Phone: 5037772278

MR. SCOTT C BOLEN (NPI# 1336285105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336285105
Entity Type Individual
Full Name MR. SCOTT C BOLEN
Credential Q.M.H.A.
Practice Address 3909 Se 70th Ave
Portland
OR 97206-2525
Mailing Address 3431 N Arlington Pl
Portland
OR 97217-7205
Practice Telephone 5037772278
Mailing Telephone 5032318948
Enumeration Date 2007-01-29
Last Update Date 2007-07-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
OR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR Q.M.H.A. 171M00000X 01

Office Location

Street Address 3909 SE 70TH AVE
City PORTLAND
State OR
Zip Code 97206-2525

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629143656 Joan Johnson Counselor 3909 Se 70th Ave, Portland, OR 97206-2525 2006-11-22
1194139295 Andrew Olson Adult Companion 3909 Se 70th Ave, Portland, OR 97206-2525 2014-06-17
1770995292 Linnea Blank Adult Companion 3909 Se 70th Ave, Portland, OR 97206-2525 2014-06-02
1982023958 Melissa Kytonen Adult Companion 3909 Se 70th Ave, Portland, OR 97206-2525 2014-04-07
1528407418 Cara Berk Adult Companion 3909 Se 70th Ave, Portland, OR 97206-2525 2013-06-24
1457795445 Nathan Paul Shaffer Adult Companion 3909 Se 70th Ave, Portland, OR 97206-2525 2013-04-22
1710224555 Carole Jean Lince Adult Companion 3909 Se 70th Ave, Portland, OR 97206-2525 2013-01-14
1588908768 Matthew Semperboni Adult Companion 3909 Se 70th Ave, Portland, OR 97206-2525 2012-11-12
1912280801 Sarah Martin Swain Adult Companion 3909 Se 70th Ave, Portland, OR 97206-2525 2011-09-27
1649504200 Natalie Wells Adult Companion 3909 Se 70th Ave, Portland, OR 97206-2525 2009-09-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346852365 Amanda Kristine Fredrickson Dietitian, Registered 3611 Se 64th Ave., Portland, OR 97206 2020-08-20
1578108940 Amy Groulx Technician 5506 Se Mitchell St, Portland, OR 97206 2019-11-08
1477061265 Lisa Marie Matejka Naturopath 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 2018-01-16
1639625205 Mollie Kathleen Pence Registered Nurse 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 2016-09-01
1457709164 Lauren Murdoch Massage Therapist 4629 Southeast Woodstock Boulevard, Portland, OR 97206 2016-06-03
1962897785 Meigra Simon LLC Mechanotherapist 6842 Se Henry St, Portland, OR 97206 2015-03-30
1891186508 Teresa Leckron-myers Case Manager/Care Coordinator 7916 Se Foster Rd, Portland, OR 97206 2015-02-17
1831597590 Boey Yean Lim Acupuncturist 4629 Se Woodstock Blvd, Portland, OR 97206 2014-12-12
1295082329 Chase Heywood Price Acupuncturist 5425 Se Raymond Street, Portland, OR 97206 2012-08-08
1154678423 Annelise Sevastiana Schnase Counselor 4311 Se Woodstock Blvd, Portland, OR 97206 2012-08-06
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336748243 Jessica M Feinsmith Counselor 6530 N Williams Ave, Portland, OR 97217-1924 2020-10-21
1720687809 Karissa Myriah Gregory Counselor 14255 Se Rupert Dr, Portland, OR 97267-1211 2020-10-20
1528667904 Zuzana Sakova Counselor 819 Se Morrison St Ste 225, Portland, OR 97214-6311 2020-10-18
1891302238 Nina Landey Counselor 120 Se 53rd Ave, Portland, OR 97215-1204 2020-09-29
1902412166 Peter H Addy LLC Counselor 524 N Tillamook St Ste 102b, Portland, OR 97227-1993 2020-09-22
1326654765 Naomi Painter Counselor 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 2020-09-21
1750996104 Sara Fuller Counselor 3016 Ne 70th Ave, Portland, OR 97213-5802 2020-09-12
1114532983 Matthew W Cronin Counselor 1122 Ne 122nd Ave Ste 200, Portland, OR 97230-2081 2020-09-09
1447865381 Luke Colbourn Counselor 2705 E Burnside St Ste 206, Portland, OR 97214-1768 2020-09-08
1710599774 Abigail Kathryn Ernst Counselor 1020 Sw Taylor St # 100, Portland, OR 97205-2543 2020-08-20
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Competitor

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City PORTLAND
Zip Code 97206

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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