Individual provider · Type 1 NPI

Tashyena Marie Blackburn

Peer Specialist · Ontario, OR

NPI number 1740109198 Active

Practice location

702 Sunset Dr
Ontario, OR 97914-3121

Fax (541) 889-7873

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Peer Specialist Primary 175T00000XNone listed

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 1740109198

Tashyena Marie Blackburn's National Provider Identifier is 1740109198, issued on Jul 10, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ontario, OR. The record was last updated on Jul 10, 2026.