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MS. WILLOW MAE BOLEN WILLOW BOLEN
NPI 1306971510
Counselor in Portland, OR

Active since February 21, 2007
2410 SE 121ST AVE, #216, PORTLAND, OR 97216(503) 724-1006 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Willow Mae Bolen Willow Bolen NPPES

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

MS. WILLOW MAE BOLEN WILLOW BOLEN (NPI 1306971510) is an individual counselor in Portland, Oregon and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1306971510
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. WILLOW MAE BOLENCredential: WILLOW BOLEN
Location Address2410 SE 121ST AVE, #216Portland, OR 97216-4066
Mailing Address2410 Se 121st Ave, #216Portland, OR 97216-4066 · (503) 724-1006
Phone(503) 724-1006
Sole ProprietorNo
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306971510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2410 SE 121ST AVE, Portland, OR 97216
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Other Names 1

Professional Name (2)Willow Bolen Willow Bolen

Other Providers at the Same Location NPPES 15

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

MS. ELAINE VICTORIA LOPEZ LCSW
Case Manager/Care Coordinator
2410 SE 121ST AVE, 216
PORTLAND, OR 97216
Multnomah County (503) 335-5975
SAM DAVID GILLAM
Counselor
2410 SE 121ST AVE
PORTLAND, OR 97216
Multnomah County (503) 335-5975
MS. JASMINE PHOUNG-HANH NGUYEN M.A.
Counselor (Mental Health)
2410 SE 121ST AVE, SUITE 216
PORTLAND, OR 97216
Multnomah County (503) 335-5975
JANELLE L JONES M.S.
Counselor
2410 SE 121ST AVE, #216
PORTLAND, OR 97216
Multnomah County (503) 335-5974
MS. LAURIE LOUISE CRANDALL-BASS MA
Marriage & Family Therapist
2410 SE 121ST AVE, #216
PORTLAND, OR 97216
Multnomah County (503) 544-4402
CARE CONNECTIONS
In Home Supportive Care
2410 SE 121ST AVE
PORTLAND, OR 97216
Multnomah County (503) 523-0927
MS. MICHELLE ANNE FITZ M.ED.
Marriage & Family Therapist
2410 SE 121ST AVE, SUITE 216
PORTLAND, OR 97216
Multnomah County (503) 335-5975
VELINDA ANN SLOAN MSW, LCSW
Counselor (Professional)
2410 SE 121ST AVE
PORTLAND, OR 97216
Multnomah County (503) 335-5975

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 Willow Bolen's NPI number?

The NPI number for Willow Bolen is 1306971510. It was assigned to this individual provider in the NPPES registry on February 21, 2007. The provider is also known as Willow Bolen Willow Bolen.

Where is Willow Bolen located?

Willow Bolen practices at 2410 SE 121st Ave #216, Portland, OR 97216. The listed phone number is (503) 724-1006.

What is Willow Bolen's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Willow Bolen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.