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: August 16, 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.

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Bouillion's NPI number?

The NPI number for Tina Bouillion is 1043450406. It was assigned to this individual provider in the NPPES registry on February 25, 2009.

Where is Tina Bouillion located?

Tina Bouillion practices at 333 NE Russell St Ste 209, Portland, OR 97212. The listed phone number is (971) 291-0626.

What is Tina Bouillion's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Tina Bouillion was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.