BREN BOSEMAN


Address: 3615 Ne Grand Ave, Portland, OR 97212-2104
Phone: 5033175153

BREN BOSEMAN (NPI# 1376979914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376979914
Entity Type Individual
Full Name BREN BOSEMAN
Other Name BRENNEN BOSEMAN SEED
Credential LPC
Practice Address 3615 Ne Grand Ave
Portland
OR 97212-2104
Mailing Address 7528 N Dwight Ave
Portland
OR 97203-4602
Practice Telephone 5033175153
Practice Fax Number 5032810787
Mailing Telephone 5033175153
Mailing Fax Number 5032810787
Enumeration Date 2013-09-14
Last Update Date 2014-10-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
C2703 OR Behavioral Health & Social Service Providers

Office Location

Street Address 3615 NE GRAND AVE
City PORTLAND
State OR
Zip Code 97212-2104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962691030 Dylan Colette Olson Counselor 3615 Ne Grand Ave, Portland, OR 97212-2104 2007-10-15
1952928293 Kathryn Emard Counselor 3615 Ne Grand Ave, Portland, OR 97212-2104 2020-07-02
1235760877 Victoria Ann Morrison Counselor 3615 Ne Grand Ave, Portland, OR 97212-2104 2020-02-02
1659915866 Michelle Anderson Counselor 3615 Ne Grand Ave, Portland, OR 97212-2104 2019-10-30
1356999874 Megan Miranda Counselor 3615 Ne Grand Ave, Portland, OR 97212-2104 2019-08-28
1033779582 Rachel Elizabeth Hirsch Counselor 3615 Ne Grand Ave, Portland, OR 97212-2104 2019-06-17
1124687801 Christiana Malini Tuck Counselor 3615 Ne Grand Ave, Portland, OR 97212-2104 2019-06-06
1104385590 Lacey Buckingham Counselor 3615 Ne Grand Ave, Portland, OR 97212-2104 2019-03-15
1437633948 Casey L Steele Counselor 3615 Ne Grand Ave, Portland, OR 97212-2104 2018-09-20
1154805521 Caitlin Mcdaniel Counselor 3615 Ne Grand Ave, Portland, OR 97212-2104 2018-09-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285191361 Beliving Counseling and Consulting Counselor 311 Ne Russell Street, #211, Portland, OR 97212 2019-02-26
1497223051 Shira Dennis Behavioral Analyst 3424 Ne Tillamook St., Portland, OR 97212 2018-11-12
1659890317 Cidnee Potter Doula 2915 Ne Mlk Jr Blvd, Portland, OR 97212 2017-09-14
1588194187 Ann M Staple Counselor 2905 Ne Tillamook St, Portland, OR 97212 2017-06-15
1780129502 Noelle Denise King Naturopath 2540 Ne Martin Luther King Jr Blvd Femelle Integrative, Suite A, Portland, OR 97212 2017-01-03
1285085100 Jessica Battin Massage Therapist 2310 Ne 8th Ave #2, Portland, OR 97212 2016-06-22
1316311830 Dr Elise Schroeder Clinic/Center 3531 Ne 15th Ave Suite A, Portland, OR 97212 2015-11-20
1467820738 Ayanna Askari Counselor 3655 N E Grand Ave, Portland, OR 97212 2015-09-03
1053797167 Iliana Henriquez Social Worker 3500 Ne Martin Luther King Blvd Suite 200, Portland, OR 97212 2015-07-31
1417346834 Emily Mcdonough Comerford Case Manager/Care Coordinator 1823 Ne 8th Avenue, Kinship House, Portland, OR 97212 2015-01-22
Find all providers in zip 97212

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063013373 Ruth Tessema Counselor 2120 Ne 166th Dr, Portland, OR 97230-5558 2020-11-03
1629675582 Michelle Robydek Counselor 103 Rindle Bluff Dr, Portland, MI 48875-9435 2020-10-05
1326656240 Donald Marks Counselor 7901 Se Powell Blvd Ste B251, Portland, OR 97206-2314 2020-07-16
1922624782 Marc Francis Otto Counselor 215 Ne 60th Ave, Portland, OR 97213-3721 2020-06-17
1013532183 Monica Grace Vanek Counselor 4248 Ne Skidmore St, Portland, OR 97218-1753 2020-06-14
1427670355 Leonore Elisabeth Licht-miller Counselor 1455 Sw Stephenson St, Portland, OR 97219-8222 2020-05-14
1821624834 Kara Pierce Counselor 5640 Ne 7th Ave, Portland, OR 97211-3249 2020-03-21
1932746302 Lynne Coon Counseling, LLC Counselor 1340 Sw Bertha Blvd Ste 202, Portland, OR 97219-2096 2019-12-04
1912554809 Genevieve Pritchard Counselor 4150 N Williams Ave Apt 409, Portland, OR 97217-2970 2019-08-24
1407312465 Jor-el Zajatz Counselor 12 Se 14th Ave Ste 105, Portland, OR 97214-1404 2019-02-14
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97212

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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