Cassandra Portwood-Blurton
Individual provider Active NPI Peer Specialist · Sayre, OK
NPI 1801294459 · NPPES record last updated Dec 15, 2014
Key facts
- NPI
- 1801294459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 501 E Grand Ave
Sayre, OK 73662-1907 - Phone
- (580) 928-3200
- Fax
- (580) 928-8983
- NPI assigned
- Dec 15, 2014
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
501 E Grand Ave
Sayre, OK 73662-1907
Mailing address
501 E Grand Ave
Sayre, OK 73662-1907
Phone (580) 928-3200
Other providers in Sayre, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2014. 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.