Individual
ISAAC EVERTT BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9300 NE OAK VIEW DR, VANCOUVER, WA 98662-6157
(360) 567-2211
Mailing address
9300 NE OAK VIEW DR, VANCOUVER, WA 98662-6157
(360) 567-2211
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
09/03/2016
Last updated
01/17/2019
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