Individual
MELISSA ANNE BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 NE OAK VIEW DR, VANCOUVER, WA 98662-6157
(360) 675-2211
Mailing address
2408 NW 106TH ST, VANCOUVER, WA 98685-4871
(971) 218-6542
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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