Boon, Alex

Boon, Alex is an individual health care provider with primary practice located at 14513 Se Stark St , Portland OR 97233-2155. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Boon, Alex can be contacted via phone (503) 234-9591.

Contact Information

Primary practice address
14513 Se Stark St Portland OR 97233-2155
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1881065126
LBN Legal business name Boon, Alex
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2015
Last updated Oct 13th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers