Isaac Woods Bloch - Portland, OR

Isaac Woods Bloch

Mental Health Counselor in Portland, Oregon

NPI 1639621683

Isaac Woods Bloch is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Isaac Woods Bloch practices in Portland, OR. The NPI Number for Isaac Woods Bloch is 1639621683 and holds a License No. (Oregon).

The current practice location address for Isaac Woods Bloch is 6115 Ne Emerson St, Portland, OR and can be reached out via phone at 503-449-4816.

Location: 6115 Ne Emerson St, Portland, OR, 97218-3017

NPI Number

1639621683

Provider Name

Isaac Woods Bloch

Credential

Provider Entity Type

Individual

Gender

Male

Address

6115 Ne Emerson St, Portland, OR, 97218-3017

Phone Number

503-449-4816

Fax Number

Provider Enumeration Date

10/25/2016

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
01536011	01	CA	MEDI-CAL

Address

6115 Ne Emerson St

City

Portland

State

Oregon

Zip

97218-3017

Phone Number

503-449-4816

Fax Number

Address

6115 Ne Emerson St

City

Portland

State

Oregon

Zip

97218-3017

Phone Number

503-449-4816

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Mental Health

Taxonomy

101YM0800X

License No.

R6879 (Oregon)

Definition

Definition to come...

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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