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

Jacquelyn Taylor Blackwell, MS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1194178830

Jacquelyn Taylor Blackwell, MS is an Addiction (Substance Use Disorder) Counselor in Lake Oswego, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2016
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

5285 SW Meadows Rd Ste 170
Lake Oswego, OR 97035
Phone: (503) 726-5216
Fax: (503) 726-5218
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C4984 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 19-02-02 (OR)

Record details

NPI number1194178830
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorYes
NPI enumeratedJuly 18, 2016
Last updated in NPPESFebruary 9, 2022
Certification dateFebruary 9, 2022

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