Search › Oregon › 101YA0400X
Brandy Blackwell, CADC 1
NPI 1639716525 · on the registry since 2019
Practice
- Address
- 91150 N Coburg Industrial Way
Coburg, OR 97408 - Phone
- (541) 284-5673
- Clinicians at this address
- 25
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-10
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