Brandi N Blackford
Individual provider Active NPI Homemaker · Saint Helens, OR
NPI 1699521963 · NPPES record last updated Apr 27, 2024
Key facts
- NPI
- 1699521963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 130 Allendale Dr
Saint Helens, OR 97051-1106 - Phone
- (971) 997-4414
- NPI assigned
- Apr 27, 2024
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
130 Allendale Dr
Saint Helens, OR 97051-1106
Mailing address
130 Allendale Dr
Saint Helens, OR 97051-1106
Phone (971) 997-4414
Other providers in Saint Helens, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2024. 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.