Charles Blackmar LCSW

NPI 1194925461 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1194925461
Gender Male
Enumeration Date 07/24/2007
Last Updated 02/27/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
PORTLAND OR, 97202-1159, US
Phone (503) 963-7613
Business Location
PO BOX 8459
PORTLAND OR, 97207-8459, US
Phone (503) 238-0769
Taxonomy Code 171M00000X
License State
License Number
Remove 1194925461 NPI Number

According to our database, Charles Blackmar LCSW NPI is 1194925461, taxonomy code is 171M00000X Charles Blackmar LCSW physically located at 1818 Se Division St, Portland OR, 97202-1159. NPI Number Charles Blackmar LCSW has the Individual type.

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1194925461 NPI number is provided on an as is basis without warranty of any kind. 1194925461 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Blackmar LCSW are for informational purposes only.