BRYAN BLALOCK

CLACKAMAS, OR
NPI1790138188
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-07-20
Last Update Date2021-12-28
Business Address
BRYAN BLALOCK
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-571-0884
Mailing Address
BRYAN BLALOCK
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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