SearchOregon101YA0400X

Kristina Blackwood

NPI 1902767502 · on the registry since 2025

Practice

Address
211 Ne 18th Ave
Portland, OR 97232
Phone
(503) 747-0404
Clinicians at this address
38

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
2025-11-21

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