Search › Oregon › 101Y00000X
Kierra Blase
NPI 1861120776 · on the registry since 2022
Practice
- Address
- 2210 N Eldorado Ave
Klamath Falls, OR 97601 - Phone
- (985) 273-9210
- Organisation at this address
- Kyle R Johnson
Klamath Youth Development Center
Klamath Youth Development Center
Klamath Youth Development Center
Klamath Child & Family Treatment CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 533
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 171M00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-17
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