Organization
BLAKE LOCHER COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE WAYSON LOCHER MS, CRC, LPCI (THERAPIST)
(971) 279-7484
Entity
Organization
Contact information
Practice address
1020 SW TAYLOR ST STE 449, PORTLAND, OR 97205-2556
(971) 279-7484
Mailing address
1020 SW TAYLOR ST STE 449, PORTLAND, OR 97205-2556
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
R3805
OR
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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