Active NPIIndividual provider

Kimberly A Blackwell

Counselor in Tigard, Oregon

NPI Number1407649411
Practice location
8770 SW Scoffins St, Tigard, OR 97223-6226
Fax
503-684-1425
Last updated
May 23, 2025

Kimberly Ann Blackwell is a Counselor based in Tigard, OR. Kimberly Ann Blackwell practices in Tigard, OR. The NPI Number for Kimberly Ann Blackwell is 1407649411. The current practice location address for Kimberly Ann Blackwell is 8770 SW Scoffins St, Tigard, OR 97223-6226 and can be reached out via phone at 503-684-1424 and via fax at 503-684-1425.

Provider Profile Details

NPI Number
1407649411
Provider Name
Kimberly Ann Blackwell
Provider Entity Type
Individual
Gender
Female
Address
8770 SW Scoffins St, Tigard, OR 97223-6226
Phone Number
503-684-1424
Fax Number
503-684-1425
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
May 23, 2025
Last Update Date
May 23, 2025
Certification Date
May 23, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
8770 SW Scoffins St
Tigard, OR 97223-6226
City
Tigard
State
Oregon
Zip
97223-6226
Phone Number
503-684-1424
Fax Number
503-684-1425
Tigard, OR 97223Get directions →

Provider Business Mailing Address Details

Address
5415 SW Westgate Dr
Portland, OR 97221-2409
City
Portland
State
OR
Zip
97221-2409
Phone Number
503-645-3581

License Information

Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy 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 Kimberly A Blackwell?

The NPI number of Kimberly A Blackwell is 1407649411. It was assigned on May 23, 2025 and is currently active in the NPPES registry.

What is the specialty of Kimberly A Blackwell?

Kimberly A Blackwell is registered under the primary taxonomy Counselor (code 101Y00000X).

Where does Kimberly A Blackwell practice?

The practice location is 8770 SW Scoffins St, Tigard, OR 97223-6226. The office can be reached at 503-684-1424 (phone) or 503-684-1425 (fax).

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 1407649411 directly on the NPPES registry website.

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