Individual
EMILY MCCLOUD-BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 CENTER ST NE, SALEM, OR 97301-2682
(503) 945-2800
Mailing address
610 SE WALNUT AVE, DALLAS, OR 97338-2931
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
10036125
OR
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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