Individual
ISABELLE BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 SW MARLOW AVE, PORTLAND, OR 97225-5104
(510) 561-5242
Mailing address
3425 COFFEE RD STE C2, MODESTO, CA 95355-1582
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/30/2019
Last updated
11/30/2019
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