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Search › Oregon › 1041C0700X

Charles Blackmar, LCSW

NPI 1194925461 · on the registry since 2007 · sole proprietor

Practice

Address
6118 Se Belmont St Ste 402
Portland, OR 97215
Phone
(712) 206-2139
Organisation at this address
Aureo
Inner Space Llc
Peter H Addy Llc
Wolf Crow Medicine
Golden Field Wellness, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
171M00000X
101YM0800X
372600000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-18

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 Oregon