IndividualActive
Tyler Boulanger
NPI 1700486586 · Counseling Psychologist · Portland, OR
Tyler Boulanger is a Counseling Psychologist provider in Portland, OR (NPI 1700486586).
Provider details
- NPI number
- 1700486586
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4212 Se Division St
Portland, OR 97206-1680
Phone: (503) 238-0705
Fax: (503) 236-7166
Street-level locationGet directions
Mailing address
4212 Se Division St
Portland, OR 97206-1680
Registry dates
- Enumerated
- 2020-10-29
- Last updated
- 2022-08-21
- Certified
- 2022-08-21
Frequently asked questions
- What is Tyler Boulanger's NPI number?
- Tyler Boulanger's National Provider Identifier (NPI) is 1700486586, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Boulanger's specialty?
- Tyler Boulanger is listed in the NPPES registry with a primary specialty of Counseling Psychologist (Behavioral Health & Social Service Providers).
- Where is Tyler Boulanger located?
- Tyler Boulanger's practice location on file with NPPES is 4212 Se Division St, Portland, OR 97206-1680.
- What is Tyler Boulanger's phone number?
- The practice phone number listed in the NPPES registry for Tyler Boulanger is (503) 238-0705.
- Is Tyler Boulanger's NPI active?
- Yes — Tyler Boulanger's NPI (1700486586) is active in the NPPES registry as of the last update on 2022-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.