Individual provider · Type 1 NPI

Blaine Lorrence, CSWA, CADC III

Addiction (Substance Use Disorder) Counselor · Redmond, OR

NPI number 1063143071 Active

Practice location

1655 SW Highland Ave Ste 3
Redmond, OR 97756-2558

Call (541) 923-2654 Map

Mailing address

423 NW 6th St Apt 8
Redmond, OR 97756-1685

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1063143071

Blaine Lorrence, CSWA, CADC III's National Provider Identifier is 1063143071, issued on Jun 21, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Redmond, OR. The record was last updated on Dec 31, 2025.