Individual provider · Type 1 NPI

Mark Blaylock

Peer Specialist · Hillsboro, OR

NPI number 1013511633 Active

Practice location

1049 SW Baseline St Ste D480
Hillsboro, OR 97123-3863

Call (503) 465-2749 Map

Mailing address

PO Box 16576
Portland, OR 97292-0576

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XTHW000002084

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1013511633

Mark Blaylock's National Provider Identifier is 1013511633, issued on Nov 24, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Hillsboro, OR. The record was last updated on Nov 24, 2020.