Individual
GRAHAM BOULDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2051 KAEN RD, SUITE 367, OREGON CITY, OR 97045-4035
(503) 742-5335
(503) 742-5304
Mailing address
2051 KAEN RD, SUITE 367, OREGON CITY, OR 97045-4035
(503) 742-5335
(503) 742-5304
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/19/2007
Last updated
10/05/2009
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