Individual
DANIEL F BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
9155 SW BARNES RD STE 205, PORTLAND, OR 97225-6629
(503) 216-2025
Mailing address
9155 SW BARNES RD STE 205, PORTLAND, OR 97225-6629
(503) 216-2025
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C8336
OR
225A00000X
Music Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11353
CERTIFICATION BOARD FOR MUSIC THERAPISTS
—
01
—
MT-T-10176428
OREGON HEALTH LICENSING - MUSIC THERAPY PROGRAM
OR
Enumeration date
12/15/2020
Last updated
09/30/2024
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