Blackham, Calvin

Blackham, Calvin is an individual health care provider with primary practice located at 331 Se 2Nd St , Pendleton OR 97801-2224. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Blackham, Calvin can be contacted via phone (541) 276-6207.

Contact Information

Primary practice address
331 Se 2Nd St Pendleton OR 97801-2224
Phone: (541) 276-6207
Fax: (541) 276-4628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1043309297
LBN Legal business name Blackham, Calvin
Credentials M.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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