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Individual

HALEY BLACKMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3407 S CORBETT AVE, PORTLAND, OR 97239-4621
(503) 836-7642
Mailing address
3407 S CORBETT AVE, PORTLAND, OR 97239-4621

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
10/03/2022
Last updated
10/03/2022
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