Individual provider · Type 1 NPI

Cody Blackburn

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1366802126 Active

Practice location

6601 NE 78th Ct Ste A3
Portland, OR 97218-2823

Call (503) 252-3949 Map

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 1366802126

Cody Blackburn's National Provider Identifier is 1366802126, issued on Mar 7, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Mar 7, 2016.