MISS Renee Erica Boak, QMHA

NPI #1508899550 in Portland, Oregon

Provider Information

NPI Number: 1508899550
Entity Type: Individual
Name: MISS Renee Erica Boak, QMHA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Adult Companion
Credential: QMHA
Enumeration Date: Jul 9, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 2908 NE KILLINGSWORTH ST
City: Portland
State: Oregon
ZIP Code: 97211-6812
Phone: (503) 287-8009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Adult Companion	372600000X	Primary

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