Individual provider · Type 1 NPI

Kristina M. Blackwood

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1902767502 Active

Practice location

211 NE 18th Ave
Portland, OR 97232-2822

Call (503) 747-0404 Map

Mailing address

11340 SW Center St
Beaverton, OR 97005-2205

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 1902767502

Kristina M. Blackwood's National Provider Identifier is 1902767502, issued on Nov 21, 2025. 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 Nov 21, 2025.