Individual
FAITH HELENE BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCII/PSS/CRM/QMHAR
Contact information
Practice address
17645 NW SAINT HELENS RD, PORTLAND, OR 97231-1729
(503) 621-1069
(503) 621-0200
Mailing address
211 SE CARUTHERS ST, PORTLAND, OR 97214-4502
(503) 224-1044
(971) 260-0355
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15-CRM-180
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21-01-20005
OR
101YM0800X
Mental Health Counselor
24-QMHA-R-5226
OR
175T00000X
Peer Specialist
THW000001262
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500727800
—
OR
05
—
500758994
—
OR
05
—
500851856
—
OR
Enumeration date
06/28/2017
Last updated
07/30/2025
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