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

Cody Blackwell

Individual provider Peer Specialist · NPI 1073484549

Cody Blackwell is a Peer Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

6200 SE King Rd
Portland, OR 97222-2891
Phone: (503) 546-6377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 114947 (OR)

Record details

NPI number1073484549
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 16, 2025
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing address6200 Se King Rd, Portland, OR 97222-2891

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