Individual
BLAINE LORRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSWA, CADC III
Contact information
Practice address
1655 SW HIGHLAND AVE STE 3, REDMOND, OR 97756-2558
(541) 923-2654
Mailing address
423 NW 6TH ST APT 8, REDMOND, OR 97756-1685
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
12/31/2025
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