Marisol Christine Blaske, BA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Happy Valley, OR
NPI 1669920377 · NPPES record last updated Sep 12, 2016
Key facts
- NPI
- 1669920377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 10822 SE 82ND Ave
Ste K
Happy Valley, OR 97086-7658 - Phone
- (503) 654-7444
- Fax
- (503) 654-0392
- NPI assigned
- Sep 12, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
10822 SE 82ND Ave
Ste K
Happy Valley, OR 97086-7658
Mailing address
PO Box 12403
Portland, OR 97212
Other providers in Happy Valley, OR
- Scott Roderick Bergeron
- Lensa E Beri
- Anne Elizabeth Berk
- William Bert Berk Jr.
- Letrice Blair
- David Blum
- Alison Elise Bostrom
- Resa L Bradeen
- Matthew Ryan Braswell
- Nancy Brock
All providers in Happy Valley, 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 Sep 12, 2016. 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.