SAMANTHA R BLANKENSHIP

MEDFORD, OR
NPI1396104709
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  14-08-20)
Enumeration Date2016-02-12
Last Update Date2019-02-04
Business Address
SAMANTHA R BLANKENSHIP CADC II
1025 E MAIN ST
MEDFORD, OR 97504-7448
Phone number: 541-779-1282
Mailing Address
SAMANTHA R BLANKENSHIP CADC II
1003 E MAIN ST STE 104
MEDFORD, OR 97504-7140
Phone number: 541-326-4905