Individual provider · Type 1 NPI

Cody Blackwell

Peer Specialist · Portland, OR

NPI number 1073484549 Active

Practice location

6200 SE King Rd
Portland, OR 97222-2891

Call (503) 546-6377 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X114947 (OR)

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 1073484549

Cody Blackwell's National Provider Identifier is 1073484549, issued on Sep 16, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Sep 16, 2025.