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JACK BOUBA
NPI 1891589644
Counselor in Portland, OR

Active since April 07, 2025
18417 SE OAK ST, PORTLAND, OR 97233(971) 727-8026 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jack Bouba NPPES

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

JACK BOUBA (NPI 1891589644) is an individual counselor in Portland, Oregon and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1891589644
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJACK BOUBA
Location Address18417 SE OAK STPortland, OR 97233-4850
Mailing Address5415 Sw Westgate DrPortland, OR 97221-2409 · (503) 645-3581
Phone(971) 727-8026
Sole ProprietorNo
Enumeration DateApril 7, 2025
NPPES CertifiedApril 7, 2025
✔ NPI 1891589644 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.
18417 SE OAK ST, Portland, OR 97233
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Other Providers at the Same Location NPPES 20

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

JENNIFER WILLIS QMHA
Case Manager/Care Coordinator
18417 SE OAK ST
PORTLAND, OR 97233
Multnomah County (971) 727-8026
AMANDA NICOLE SONJU
Student in an Organized Health Care Education/Training Program
18417 SE OAK ST
PORTLAND, OR 97233
Multnomah County (971) 727-8026
MARIANA CORTES GUTIERREZ
Case Manager/Care Coordinator
18417 SE OAK ST
PORTLAND, OR 97233
Multnomah County (971) 727-8026
BENJAMIN GULICK
Counselor
18417 SE OAK ST
PORTLAND, OR 97233
Multnomah County (971) 727-8026
MAYA EVANGELINE BERMAN
Counselor
18417 SE OAK ST
PORTLAND, OR 97233
Multnomah County (971) 727-8026
GRACE TAYLOR
Student in an Organized Health Care Education/Training Program
18417 SE OAK ST
PORTLAND, OR 97233
Multnomah County (971) 727-8026
BREANNA FANNING
Counselor (Mental Health)
18417 SE OAK ST
PORTLAND, OR 97233
Multnomah County (971) 727-8026
MR. JOSHUA WALKER MORRISETT MSW
Counselor
18417 SE OAK ST
PORTLAND, OR 97233
Multnomah County (971) 727-8026

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 Jack Bouba's NPI number?

The NPI number for Jack Bouba is 1891589644. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Where is Jack Bouba located?

Jack Bouba practices at 18417 SE Oak St, Portland, OR 97233. The listed phone number is (971) 727-8026.

What is Jack Bouba'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 Jack Bouba was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.