Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK BLAYLOCK
ActiveMARK BLAYLOCK is a Peer Specialist healthcare provider located in HILLSBORO, Oregon. NPI 1013511633 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · HILLSBORO, OR
Registration Details
- NPI Number
- 1013511633
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 24, 2020 (5.6934346437405 yrs)
- Last Updated
- Nov 24, 2020
- License
-
THW000002084
Practice Information
- Address
-
1049 SW BASELINE ST STE D480HILLSBORO, OR, 971233863Browse OR providers · Browse ZIP 97123
- Phone
- 5034652749
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in HILLSBORO, OR
| Name | Credential | NPI |
|---|---|---|
| MR. JAMES LEE WILLIAMS | — | 1659410686 |
| CHRISTINA KENNEDY | — | 1861895161 |
| TIA SANDAGE | — | 1700275583 |
| MS. BRENDA JEAN SULLIVAN | — | 1164813929 |
| HEIDI MARIE HAGEMAN | CRM | 1396136081 |
| ROUMALDO JUNIOR GUAJARDO JR. | CRM | 1083009534 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.