Individual
PAIGE EMILY BLACKLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
9135 SW BARNES RD STE 561, PORTLAND, OR 97225-6643
(503) 216-2339
Mailing address
9135 SW BARNES RD STE 561, PORTLAND, OR 97225-6643
(503) 216-2339
(503) 216-6813
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17637
OR
Other
Enumeration date
06/02/2023
Last updated
09/18/2025
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