Nicholus Blair, CADC I
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Pendleton, OR
NPI 1124941141 · NPPES record last updated Aug 4, 2026
Key facts
- NPI
- 1124941141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 18-03-09 (OR)
- Practice address
- 920 SW Frazer Ave
Pendleton, OR 97801-2800 - Phone
- (541) 276-1022
- NPI assigned
- Aug 4, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | 18-03-09 | OR | Yes |
Addresses
Primary practice location
920 SW Frazer Ave
Pendleton, OR 97801-2800
Mailing address
2426 SW Nye Ave
Pendleton, OR 97801-4371
Phone (541) 310-7250
Other providers in Pendleton, OR
- Heather Lanae Billy
- Courtney Bingham
- Diana Bingham
- Gary Blackburn
- Calvin Blackham
- Roger P Blair
- Derek James Blankenship
- Shannon Cristine Blood
- Blue Mountain Chiropractic Clinic
- Blue Mountain Diagnostic Imaging, Inc
All providers in Pendleton, OR · Addiction (Substance Use Disorder) Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.