Holly Blalack
Holly Blalack is a Peer Specialist in Tigard, Oregon. Licensed in Oregon. Registered with an NPI since 2018.
- Licensed in
- OR
- In the registry since
- 2018
Practice location Address checks out
12540 SW Main St Ste 202Tigard, OR 97223-6198
Phone: (503) 906-9995
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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 18-CRM-045 (OR) |
|---|
Record details
| NPI number | 1942778139 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 6, 2018 |
| Last updated in NPPES | November 6, 2018 |
| Mailing address | 12540 Sw Main St Ste 202, Tigard, OR 97223-6198 |
Other providers in Tigard
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Joseph Bazeghi, PSS
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-
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