Individual
ABIGAIL RUTH BLACKMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN TCRN
Contact information
Practice address
33456 HAVLIK DR, SCAPPOOSE, OR 97056-3836
(800) 800-1520
Mailing address
35580 ELK MEADOWS DR, SAINT HELENS, OR 97051-3757
(800) 800-1520
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
7160396
OR
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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