Individual
MARIA BLASZKIW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4411 NE EMERSON ST, PORTLAND, OR 97218-1537
(503) 535-1151
Mailing address
4411 NE EMERSON ST, PORTLAND, OR 97218-1537
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
08/26/2022
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