- Practice location
- 1790 W 11TH Ave, Eugene, OR 97402-3758
- Phone
- 541-868-0661
- Fax
- —
- Last updated
- January 14, 2008
Derek Michael Blake is a Counselor, Mental Health based in Eugene, OR. Derek Michael Blake practices in Eugene, OR. The NPI Number for Derek Michael Blake is 1982880597. The current practice location address for Derek Michael Blake is 1790 W 11TH Ave, Eugene, OR 97402-3758 and can be reached out via phone at 541-868-0661.
Provider Profile Details
- NPI Number
- 1982880597
- Provider Name
- Derek Michael Blake
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1790 W 11TH Ave, Eugene, OR 97402-3758
- Phone Number
- 541-868-0661
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 14, 2008
- Last Update Date
- January 14, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1790 W 11TH Ave
Eugene, OR 97402-3758 - City
- Eugene
- State
- Oregon
- Zip
- 97402-3758
- Phone Number
- 541-868-0661
Provider Business Mailing Address Details
- Address
- 1790 W 11TH Ave
Eugene, OR 97402-3758 - City
- Eugene
- State
- OR
- Zip
- 97402-3758
- Phone Number
- 541-868-0661
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Eugene, OR
View all Counselor, Mental Health providers in Eugene →- A Healing Place, LLCCounselor, Mental Health · NPI 1801424262
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- Adrienne Adelberg, MSCounselor, Mental Health · NPI 1821448887
- Agnes M BachmeierCounselor, Mental Health · NPI 1174700637
- Aiden Brahn-Perrot, QMHACounselor, Mental Health · NPI 1053158063
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Frequently Asked Questions
What is the NPI number of Mr. Derek M Blake?
The NPI number of Mr. Derek M Blake is 1982880597. It was assigned on January 14, 2008 and is currently active in the NPPES registry.
What is the specialty of Mr. Derek M Blake?
Mr. Derek M Blake is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Mr. Derek M Blake practice?
The practice location is 1790 W 11TH Ave, Eugene, OR 97402-3758. The office can be reached at 541-868-0661 (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 1982880597 directly on the NPPES registry website.