Brad Boyce
Counselor, Mental Health in Portland, OR. Individual provider (NPI-1).
NPI number1114586294
StatusActive
Last updated in NPPESJun 9, 2021
Details
- NPI
- 1114586294
- Entity type
- Individual (NPI-1)
- Name
- Brad Boyce
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2019
- Last updated
- Jun 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
17710 Ne Halsey StPortland, OR 97230-6734
Phone 971-293-3468 · Fax 971-293-3469
Mailing address
3587 Heathrow WayMedford, OR 97504-4004
Phone 541-858-8170
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