Individual
PAUL BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA CADC CANDIDATE
Contact information
Practice address
16063 BONAIRE AVE, 000, LAKE OSWEGO, OR 97035-4149
(503) 799-8218
Mailing address
16063 BONAIRE AVE, LAKE OSWEGO, OR 97035-4149
(503) 799-8218
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/13/2015
Last updated
09/13/2015
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