Active NPIIndividual providerSole proprietor

Jayne L Blazevich

Counselor, Addiction (Substance Use Disorder) in Beaverton, Oregon

NPI Number1407185507
Practice location
9700 SW Beaverton Hillsdale Hwy, Beaverton, OR 97005-3306
Fax
—
Last updated
December 18, 2009

Jayne L Blazevich is a Counselor, Addiction (Substance Use Disorder) based in Beaverton, OR. The NPI number for Jayne L Blazevich is 1407185507. The current practice location address is 9700 SW Beaverton Hillsdale Hwy, Beaverton, OR 97005-3306 and the office can be reached by phone at 503-626-9494. The NPI was assigned on December 18, 2009 and the record was last updated in NPPES on December 18, 2009.

●Provider Profile Details

NPI Number
1407185507
Provider Name
Jayne Lynne Blazevich
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Enumeration Date
December 18, 2009
Last Update Date
December 18, 2009
NPI Status
Active

◉Business Practice Location Address

Address
9700 SW Beaverton Hillsdale Hwy
Beaverton, OR 97005-3306
State
Oregon
ZIP
97005-3306
Country
US
Phone Number
503-626-9494

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✉Business Mailing Address

Address
Po Box 82819
Portland, OR 97282-0819
City
Portland
State
OR
ZIP
97282-0819
Phone Number
503-233-5405

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Addiction (Substance Use Disorder)101YA0400XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Jayne L Blazevich?

The NPI number of Jayne L Blazevich is 1407185507. It was assigned on December 18, 2009 and is currently active in the NPPES registry.

What is the specialty of Jayne L Blazevich?

Jayne L Blazevich is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).

Where does Jayne L Blazevich practice?

The practice location is 9700 SW Beaverton Hillsdale Hwy, Beaverton, OR 97005-3306. The office can be reached at 503-626-9494 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407185507 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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