Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bryan Blalock

Individual provider Mental Health Counselor · NPI 1790138188

Bryan Blalock is a Mental Health Counselor in Clackamas, Oregon. Qualified in 2020, 6 years ago. Registered with an NPI since 2016.

Years since qualifying
6
In the registry since
2016

Practice location Address checks out

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone: (503) 571-0884
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1790138188
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 20, 2016
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025
Mailing address12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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