TYLER JAMES BOULANGER
NPI 1700486586
Psychologist - Counseling in Portland, OR

Active since October 29, 2020
4212 SE DIVISION ST, PORTLAND, OR 97206(503) 238-0705(503) 236-7166 Get Directions Write a Review

NPPES record last updated: August 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2022, Oct 29, 2020 (2 updates tracked since 2020).

About Tyler James Boulanger NPPES

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

TYLER JAMES BOULANGER (NPI 1700486586) is an individual counseling provider in Portland, Oregon and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1700486586
Entity TypeIndividualMale
Primary Taxonomy103TC1900X
Provider Legal NameTYLER JAMES BOULANGER
Location Address4212 SE DIVISION STPortland, OR 97206-1680
Mailing Address4212 Se Division StPortland, OR 97206-1680 · (503) 238-0705 · Fax (503) 236-7166
Fax(503) 236-7166
Sole ProprietorNo
Enumeration DateOctober 29, 2020
Last NPPES UpdateAugust 21, 20222 updates tracked since enumeration
NPPES CertifiedAugust 21, 2022
NPI 1700486586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
4212 SE DIVISION ST, Portland, OR 97206

Other Providers at the Same Location NPPES 16

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

Social Worker (Clinical)
4212 SE DIVISION ST, SUITE 100
PORTLAND, OR 97206
Counselor (Mental Health)
4212 SE DIVISION ST
PORTLAND, OR 97206
Clinic/Center (Federally Qualified Health Center (FQHC))
4212 SE DIVISION ST
PORTLAND, OR 97206
Counselor (Mental Health)
4212 SE DIVISION ST
PORTLAND, OR 97206
Social Worker (Clinical)
4212 SE DIVISION ST
PORTLAND, OR 97206
Counselor (Mental Health)
4212 SE DIVISION ST, SUITE 100
PORTLAND, OR 97206
Counselor (Mental Health)
4212 SE DIVISION ST, SUITE 100
PORTLAND, OR 97206
Counselor (Mental Health)
4212 SE DIVISION ST, SUITE 100
PORTLAND, OR 97206

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 Tyler Boulanger's NPI number?

The NPI number for Tyler Boulanger is 1700486586. It was assigned to this individual provider in the NPPES registry on October 29, 2020.

Where is Tyler Boulanger located?

Tyler Boulanger practices at 4212 SE Division St, Portland, OR 97206. The listed phone number is (503) 238-0705.

What is Tyler Boulanger's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

When was this NPI record last updated?

The NPPES record for Tyler Boulanger was last updated on August 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.