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

Tara Blackinton, CRM

Individual provider Peer Specialist · NPI 1053862110

Tara Blackinton, CRM is a Peer Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016

Practice location Address checks out

10209 SE Division St
Portland, OR 97266-1372
Phone: (971) 517-7048
Fax: (971) 302-7469
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 16-CRM-196 (OR)

Record details

NPI number1053862110
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRM
Sole proprietorNo
NPI enumeratedOctober 24, 2016
Last updated in NPPESNovember 1, 2016

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