Individual
JULIENNE J BLANCHETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
3909 SE 70TH AVE, PORTLAND, OR 97206-2525
(503) 777-2278
Mailing address
711 SE 60TH AVE, #7A, PORTLAND, OR 97215-1980
(971) 409-2218
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
COUSELOR II
OR
Enumeration date
01/29/2007
Last updated
07/08/2007
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