Individual
MRS. MAILE BOEKE SAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
9201 SE FOSTER RD, PORTLAND, OR 97266
(503) 512-9221
Mailing address
9201 SE FOSTER RD, PORTLAND, OR 97266
(503) 512-9221
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/27/2007
Last updated
02/26/2025
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