person
Blake Edward Smith
Mental Health Counselor in Portland, Oregon
NPI 1649839317

Blake Edward Smith is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Blake Edward Smith practices in Portland, OR. The NPI Number for Blake Edward Smith is 1649839317 and holds a License No. T-19-125 (Oregon).

The current practice location address for Blake Edward Smith is 10564 Se Washington St, Portland, OR and can be reached out via phone at 503-228-9229 and via fax at 503-228-9558.

Location: 10564 Se Washington St, Portland, OR, 97216-2809
person
Provider Profile Details
NPI Number
1649839317
Provider Name
Blake Edward Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
10564 Se Washington St, Portland, OR, 97216-2809
Phone Number
503-228-9229
Fax Number
503-228-9558
Provider Enumeration Date
06/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10564 Se Washington St
City
State
Zip
97216-2809
Phone Number
503-228-9229
Fax Number
503-228-9558
person
Provider Business Mailing Address Details
Address
10564 Se Washington St
City
State
Zip
97216-2809
Phone Number
503-228-9229
Fax Number
503-228-9558
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
T-19-125 ()
Definition
Definition to come...
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