Individual
RIKKI BLODGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15268 SE GREENVIEW DR, PORTLAND, OR 97267-3445
(503) 387-0247
Mailing address
15268 SE GREENVIEW DR, PORTLAND, OR 97267-3445
(503) 387-0247
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
109504
OR
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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