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Jacquelyn Taylor Blackwell, MS
Professional Counselor in Lake Oswego, Oregon
NPI 1194178830

Jacquelyn Taylor Blackwell is a Professional Counselor based in Lake Oswego, OR and is specialized in Professional. Jacquelyn Taylor Blackwell practices in Lake Oswego, OR and has the professional credentials of MS. The NPI Number for Jacquelyn Taylor Blackwell is 1194178830 and holds a License No. 19-02-02 (Oregon).

The current practice location address for Jacquelyn Taylor Blackwell is 5285 Sw Meadows Rd, Lake Oswego, OR and can be reached out via phone at 503-726-5216 and via fax at 503-726-5218. You can also correspond with Jacquelyn Taylor Blackwell through the mailing address at 5285 SW MEADOWS RD, LAKE OSWEGO, OR - 97035 (mailing address contact number: 503-726-5216).

Location: 5285 Sw Meadows Rd, Lake Oswego, OR, 97035
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Provider Profile Details
NPI Number
1194178830
Provider Name
Jacquelyn Taylor Blackwell
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
5285 Sw Meadows Rd, Lake Oswego, OR, 97035
Phone Number
503-726-5216
Fax Number
503-726-5218
Provider Enumeration Date
07/18/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500715046 05 OR
institution
Provider Business Practice Location Address Details
Address
5285 Sw Meadows Rd
City
State
Zip
97035
Phone Number
503-726-5216
Fax Number
503-726-5218
person
Provider Business Mailing Address Details
Address
5285 Sw Meadows Rd
City
State
Zip
97035
Phone Number
503-726-5216
Fax Number
503-726-5218
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C4984 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
19-02-02 (Oregon)
Definition
Definition to come...
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