Calvin Blackham M.S.W.

NPI 1043309297 - Counselor - 101Y00000X

NPI Details
NPI 1043309297
Gender Male
Enumeration Date 10/12/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
331 SE 2ND ST
PENDLETON OR, 97801-2224, US
Phone (541) 276-6207
Fax (541) 276-4628
Business Location
PO BOX 1290
ONTARIO OR, 97914-0136, US
Phone (541) 889-9167
Fax (541) 889-7873
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Calvin Blackham M.S.W. NPI is 1043309297, taxonomy code is 101Y00000X Calvin Blackham M.S.W. physically located at 331 Se 2nd St, Pendleton OR, 97801-2224. NPI Number Calvin Blackham M.S.W. has the Individual type.

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1043309297 NPI number is provided on an as is basis without warranty of any kind. 1043309297 is maintained by the National Plan & Provider Enumeration System. The contents of Calvin Blackham M.S.W. are for informational purposes only.