Individual
ANTHONY RONALD BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
11740 SW 68TH PKWY STE 200, PORTLAND, OR 97223-9058
(503) 908-4497
Mailing address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(503) 908-4497
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R8526
OR
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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