Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK BOUBA
ActiveJACK BOUBA is a Counselor healthcare provider located in PORTLAND, Oregon. NPI 1891589644 is currently active in the NPPES registry. Verify at CMS.
Counselor · PORTLAND, OR
Registration Details
- NPI Number
- 1891589644
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 7, 2025 (1.3938433192261 yrs)
- Last Updated
- Apr 7, 2025
Practice Information
- Address
-
18417 SE OAK STPORTLAND, OR, 972334850Browse OR providers · Browse ZIP 97233
- Phone
- 9717278026
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| PAULA LYNN FOTHERGILL | M.S., CADCII | 1700857497 |
| KIM A WATT | LPC | 1639104870 |
| MS. MINDY LYNN GOCHIS | BA, LAC | 1447368386 |
| KATE ELIZABETH O'KELLEY | M.A. | 1346334885 |
| MS. KIRSTEN LESLIE MCATEER | MA LPC | 1275628042 |
| MS. RISA HOBSON | MA, LPC | 1023199163 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.