Blackinton, Tara
Blackinton, Tara is an individual health care provider with primary practice located at 10209 Se Division St , Portland OR 97266-1372. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Blackinton, Tara can be contacted via phone (971) 517-7048.Contact Information
Primary practice address
10209 Se Division St
Portland OR 97266-1372
Phone: (971) 517-7048
Fax: (971) 302-7469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 16-CRM-196 | Oregon |
Profile Details
| NPI number | 1053862110 |
|---|---|
| LBN Legal business name | Blackinton, Tara |
| Credentials | CRM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2016 |
| Last updated | Nov 1st, 2016 - about 9 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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