Individual
CYNTHIA BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA
Contact information
Practice address
10305 E BURNSIDE ST, PORTLAND, OR 97216-2733
(503) 708-9749
Mailing address
PO BOX 33530, PORTLAND, OR 97292-3530
(503) 708-9749
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
A3840
OR
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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