ERIC JOHN BLICKENSTAFF

CORVALLIS, OR
NPI1366735227
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L4669)
Enumeration Date2011-05-25
Last Update Date2011-05-25
Business Address
-- ERIC JOHN BLICKENSTAFF L.C.S.W.
891 NW GRANT AVE
CORVALLIS, OR 97330-4539
Phone number: 503-708-6190
Mailing Address
-- ERIC JOHN BLICKENSTAFF L.C.S.W.
4067 DAVIDSON ST SE
ALBANY, OR 97322-6325
Phone number: 503-708-6190
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