Kimberly Ann Blackwell

NPI #1407649411 in Tigard, Oregon

Provider Information

NPI Number: 1407649411
Entity Type: Individual
Name: Kimberly Ann Blackwell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: May 23, 2025
Last Updated: May 23, 2025

Practice Location

Address: 8770 SW SCOFFINS ST
City: Tigard
State: Oregon
ZIP Code: 97223-6226
Phone: (503) 684-1424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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