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Search › Washington › 101YA0400X

Gerald Blackburn

NPI 1033661376 · on the registry since 2016

Practice

Address
414 Front St N
Issaquah, WA 98027
Phone
(425) 392-6367
Organisation at this address
Friends Of Youth
Friends Of Youth
Friends Of Youth
Friends Of Youth
Inferred from a shared address, not stated in the registry.
Clinicians at this address
55

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-11-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington