Individual
ERIKA BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, QMHP
Contact information
Practice address
13000 SW 2ND ST, BEAVERTON, OR 97005-2615
(503) 356-3985
Mailing address
PO BOX 568, CORNELIUS, OR 97113-0568
(503) 352-8657
(503) 352-8658
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OR
101YM0800X
Mental Health Counselor
—
OR
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
04/22/2013
Last updated
10/03/2016
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