Individual provider · Type 1 NPI

Zachariah Francis Blaylock, SUDPT

Substance Use Disorder Rehabilitation Clinic/Center · Port Angeles, WA

NPI number 1306455241 Active

Practice location

3430 E Highway 101 Ste 3
Port Angeles, WA 98362-9069

Fax (360) 452-4189

Mailing address

PO Box 478
Port Angeles, WA 98362-0072

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XCO61077409 (WA)

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1306455241

Zachariah Francis Blaylock, SUDPT's National Provider Identifier is 1306455241, issued on Jul 27, 2020. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Port Angeles, WA. The record was last updated on Jul 27, 2020.