IndividualActive
Jack Bouba
NPI 1891589644 · Counselor · Portland, OR
Jack Bouba is a Counselor provider in Portland, OR (NPI 1891589644).
Provider details
- NPI number
- 1891589644
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
18417 Se Oak St
Portland, OR 97233-4850
Phone: (971) 727-8026
Street-level locationGet directions
Mailing address
5415 Sw Westgate Dr
Portland, OR 97221-2409
Registry dates
- Enumerated
- 2025-04-07
- Last updated
- 2025-04-07
- Certified
- 2025-04-07
Frequently asked questions
- What is Jack Bouba's NPI number?
- Jack Bouba's National Provider Identifier (NPI) is 1891589644, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Bouba's specialty?
- Jack Bouba is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Jack Bouba located?
- Jack Bouba's practice location on file with NPPES is 18417 Se Oak St, Portland, OR 97233-4850.
- What is Jack Bouba's phone number?
- The practice phone number listed in the NPPES registry for Jack Bouba is (971) 727-8026.
- Is Jack Bouba's NPI active?
- Yes — Jack Bouba's NPI (1891589644) is active in the NPPES registry as of the last update on 2025-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.