Individual
JOSEPH G BLACKINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
COASTAL CENTER, LLC, 1834 MCPHERSON AVE, NORTH BEND, OR 97459
(541) 267-2113
(541) 267-5071
Mailing address
COASTAL CENTER, LLC, 1834 MCPHERSON AVE, NORTH BEND, OR 97459
(541) 267-2113
(541) 267-5071
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
250
SD
103TC0700X
Clinical Psychologist
Primary
3970
OR
Other
Enumeration date
12/11/2006
Last updated
11/12/2025
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