Individual
JOHN OLIVER BLOSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 E MARINA WAY STE 221, HOOD RIVER, OR 97031-2353
(507) 820-0871
Mailing address
3509 AVALON DR, HOOD RIVER, OR 97031-8751
(507) 820-0871
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C7951
OR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500794918
—
OR
Enumeration date
06/03/2021
Last updated
06/09/2026
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