Individual
JOHN BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
182 SW ACADEMY ST STE 333, DALLAS, OR 97338-1996
(503) 623-9289
Mailing address
PO BOX 237, FALLS CITY, OR 97344-0237
(503) 787-4514
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/02/2015
Last updated
10/23/2024
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