- Practice location
- 12540 SW Main St Ste 202, Tigard, OR 97223-6198
- Phone
- 503-906-9995
- Fax
- —
- Last updated
- November 6, 2018
Holly Blalack is a Peer Specialist based in Tigard, OR. Holly Blalack practices in Tigard, OR. The NPI Number for Holly Blalack is 1942778139 and holds a License No. 18-CRM-045 (OR). The current practice location address for Holly Blalack is 12540 SW Main St Ste 202, Tigard, OR 97223-6198 and can be reached out via phone at 503-906-9995.
Provider Profile Details
- NPI Number
- 1942778139
- Provider Name
- Holly Blalack
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 12540 SW Main St Ste 202, Tigard, OR 97223-6198
- Phone Number
- 503-906-9995
- Primary Taxonomy
- Peer Specialist · 175T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 6, 2018
- Last Update Date
- November 6, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12540 SW Main St Ste 202
Tigard, OR 97223-6198 - City
- Tigard
- State
- Oregon
- Zip
- 97223-6198
- Phone Number
- 503-906-9995
Provider Business Mailing Address Details
- Address
- 12540 SW Main St Ste 202
Tigard, OR 97223-6198 - City
- Tigard
- State
- OR
- Zip
- 97223-6198
- Phone Number
- 503-906-9995
License Information
- License Number
- 18-CRM-045
- License State
- OR
- Taxonomy
- Peer Specialist · 175T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Peer Specialists near Tigard, OR
View all Peer Specialists in Tigard →Frequently Asked Questions
What is the NPI number of Holly Blalack?
The NPI number of Holly Blalack is 1942778139. It was assigned on November 6, 2018 and is currently active in the NPPES registry.
What is the specialty of Holly Blalack?
Holly Blalack is registered under the primary taxonomy Peer Specialist (code 175T00000X), licensed in OR under license number 18-CRM-045.
Where does Holly Blalack practice?
The practice location is 12540 SW Main St Ste 202, Tigard, OR 97223-6198. The office can be reached at 503-906-9995 (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 1942778139 directly on the NPPES registry website.