Search › Oregon › 1041C0700X
K. Michael Boucher, LCSW
NPI 1538298146 · on the registry since 2007 · sole proprietor
Practice
- Address
- 425 Ellsworth St Sw
Albany, OR 97321 - Phone
- (541) 619-8121
- Fax
- (541) 924-9600
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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