Individual provider · Type 1 NPI

Samantha Rae Blazier, LPC

Professional Counselor · Portland, OR

NPI number 1912318007 Active

Practice location

847 NE 19th Ave
Portland, OR 97232-2684

Call (503) 238-0769 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Professional Counselor Primary 101YP2500XC5014 (OR)

Professional Counselor: Definition to come...

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About NPI 1912318007

Samantha Rae Blazier, LPC's National Provider Identifier is 1912318007, issued on May 12, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Sep 19, 2018.