Paul Blanchard, BA CADC CANDIDATE

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

16063 Bonaire Ave
000
Lake Oswego, OR 97035-4149

Phone

(503) 799-8218

NPI assigned

Sep 13, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Paul Charles Blanchard Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442102400000",
    "number": "1710355391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16063 BONAIRE AVE",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354149",
            "telephone_number": "503-799-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16063 BONAIRE AVE",
            "address_2": "000",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354149",
            "telephone_number": "503-799-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "PAUL",
        "credential": "BA CADC CANDIDATE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-13",
        "last_updated": "2015-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "BLANCHARD",
            "middle_name": "CHARLES",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Julia Cherie Bishop-Tall, DNP, PMHNP-BC
• Andrew Allen Black, LMT
• Jacquelyn Taylor Blackwell, MS
• David Earle Blakeslee, PSY.D.
• Steven Blakley, DMD
• Susan A Blasi, D.O.
• Katherine Eva Blezinski, RPH
• Andrew E Bliesner, PSY.D.
• Jessica Lynn Blodgett
• Leah Bloomberg, DNP, RN, PMHNP-BC

• Addiction (Substance Use Disorder) Counselor in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.