Individual
BRYAN BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-0884
Mailing address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(503) 249-3434
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/20/2016
Last updated
11/06/2025
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