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Mason Boucher

NPI 1154879781 · on the registry since 2016

Practice

Address
2236 Se Belmont St
Portland, OR 97214
Phone
(503) 445-7699
Organisation at this address
Cascade Aids Project
Avita Drugs Oregon, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Female
Record last updated
2020-05-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon