Individual
ALEX BOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14513 SE STARK ST, PORTLAND, OR 97233-2155
(503) 234-9591
Mailing address
14513 SE STARK ST, PORTLAND, OR 97233-2155
(503) 234-9591
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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