MRS. TINA HAN BOUILLION MS, CADC II, LPC
NPI 1043450406
Counselor - Professional in Portland, OR

Active since February 25, 2009
333 NE RUSSELL ST STE 209, PORTLAND, OR 97212(971) 291-0626(458) 224-0137 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 11, 2019, May 31, 2019, Dec 1, 2015 (3 updates tracked since 2015).

About Mrs. Tina Han Bouillion Ms, Cadc Ii, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TINA HAN BOUILLION MS, CADC II, LPC (NPI 1043450406) is an individual professional provider in Portland, Oregon, licensed in Oregon (C3283) and active in the NPI registry since February 2009. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1043450406
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. TINA HAN BOUILLIONCredential: MS, CADC II, LPC
Location Address333 NE RUSSELL ST STE 209Portland, OR 97212-3762
Mailing Address5304 Se 44th AvePortland, OR 97206-5737 · (971) 291-0626 · Fax (458) 224-0137
Fax(458) 224-0137
Sole ProprietorNo
Enumeration DateFebruary 25, 2009
Last NPPES UpdateJune 11, 20193 updates tracked since enumeration
NPI 1043450406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OR · C3283
333 NE RUSSELL ST STE 209, Portland, OR 97212

Secondary Practice Location 1

Location 1421 SW Oak St Ste 520Portland, OR 97204-1810 · Phone (503) 988-8469 · Fax (503) 988-3328

Other Identifiers 1

Medicaid500762021OR

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
333 NE RUSSELL ST STE 209
PORTLAND, OR 97212
Counselor (Professional)
333 NE RUSSELL ST STE 209
PORTLAND, OR 97212
Acupuncturist
333 NE RUSSELL ST STE 209
PORTLAND, OR 97212
Acupuncturist
333 NE RUSSELL ST STE 209
PORTLAND, OR 97212

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043450406, enumerated as an "individual" on February 25, 2009.

The provider is located at 333 NE RUSSELL ST STE 209 PORTLAND, OR 97212 and the phone number is (971) 291-0626.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.