Individual
NIKKI BLOMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
524 MAIN ST, OREGON CITY, OR 97045-1824
(503) 655-8558
(503) 655-8197
Mailing address
524 MAIN ST, OREGON CITY, OR 97045-1824
(503) 655-8558
(503) 655-8197
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
05-11-105
OR
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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