Individual
JENNIFER BLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
3580 SE 82ND AVE, PORTLAND, OR 97266-2902
(971) 339-9240
Mailing address
324 NW DAVIS, PORTLAND, OR 97007
(503) 226-2203
(503) 223-4231
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16-04-20
OR
Other
Enumeration date
03/03/2016
Last updated
02/01/2024
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