MASON CLARK BOUCHER

PORTLAND, OR
NPI1154879781
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-09-12
Last Update Date2020-05-15
Business Address
MASON CLARK BOUCHER
2236 SE BELMONT ST
PORTLAND, OR 97214-2817
Phone number: 503-445-7699
Mailing Address
MASON CLARK BOUCHER
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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