person
Mark Blaylock
Peer Specialist in Hillsboro, Oregon
NPI 1013511633

Mark Blaylock is a Peer Specialist based in Portland, OR. Mark Blaylock practices in Hillsboro, OR. The NPI Number for Mark Blaylock is 1013511633 and holds a License No. THW000002084 (Oregon).

The current practice location address for Mark Blaylock is 1049 Sw Baseline St Ste D480, Hillsboro, OR and can be reached out via phone at 503-465-2749.

Location: 1049 Sw Baseline St Ste D480, Hillsboro, OR, 97292-0576
person
Provider Profile Details
NPI Number
1013511633
Provider Name
Mark Blaylock
Credential
Provider Entity Type
Individual
Gender
Male
Address
1049 Sw Baseline St Ste D480, Hillsboro, OR, 97292-0576
Phone Number
503-465-2749
Fax Number
Provider Enumeration Date
11/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1049 Sw Baseline St Ste D480
City
State
Zip
97123-3863
Phone Number
503-465-2749
Fax Number
person
Provider Business Mailing Address Details
Address
1049 Sw Baseline St Ste D480
City
State
Zip
97123-3863
Phone Number
503-465-2749
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
THW000002084 ()
Definition
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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