CALVIN BLACKHAM

PENDLETON, OR
NPI1043309297
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2006-10-12
Last Update Date2007-07-08
Business Address
-- CALVIN BLACKHAM M.S.W.
331 SE 2ND ST
PENDLETON, OR 97801-2224
Phone number: 541-276-6207
Mailing Address
-- CALVIN BLACKHAM M.S.W.
PO BOX 1290
ONTARIO, OR 97914-0136
Phone number: 541-889-9167