Makyla Lynn Boone
Counselor, Mental Health in Portland, OR. Individual provider (NPI-1).
NPI number1184205346
StatusActive
Last updated in NPPESApr 19, 2021
Details
- NPI
- 1184205346
- Entity type
- Individual (NPI-1)
- Name
- Makyla Lynn Boone
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2021
- Certification date
- Apr 19, 2021
- Last updated
- Apr 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 20-QMHA-R-0810 | OR | Yes |
Other names
- Michael Lynn Boone (Other Name)
Practice location
33 Nw BroadwayPortland, OR 97209-3580
Phone 503-228-7134
Mailing address
232 Nw 6th AvePortland, OR 97209-3609
Phone 503-294-1681
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