Individual
MS. RENEE NICOLE BOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1904 SE DIVISION ST, PORTLAND, OR 97202-1146
(971) 940-8846
Mailing address
1904 SE DIVISION ST, PORTLAND, OR 97202-1146
(971) 940-8846
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/13/2015
Last updated
09/04/2024
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