Scott C Bolen, Q.M.H.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3909 SE 70TH Ave
Portland, OR 97206-2525

Phone

(503) 777-2278

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1336285105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3431 N ARLINGTON PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972177205",
            "telephone_number": "503-231-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 SE 70TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062525",
            "telephone_number": "503-777-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLEN",
        "first_name": "SCOTT",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "Q.M.H.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "Q.M.H.A.",
            "identifier": "171M00000X",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Bolds, RDH
• Autumn Bolds, QMHA
• Durrell J Bolds
• Patrick Boldt
• Laura Bolen
• Willow Mae Bolen, WILLOW BOLEN
• Lindsay Ann Bolerjack
• Bettina Boles
• Matthew S.a. Boles, MD
• Jacquelyn Boliba Soule

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.