Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ZACHARIAH FRANCIS BLAYLOCK, SUDPT
Active Sole ProprietorZACHARIAH FRANCIS BLAYLOCK, SUDPT is a Substance Use Disorder Rehabilitation Facility healthcare provider located in PORT ANGELES, Washington. NPI 1306455241 is currently active in the NPPES registry. Verify at CMS.
Substance Use Disorder Rehabilitation Facility · PORT ANGELES, WA
Registration Details
- NPI Number
- 1306455241
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2020 (6.0049977779695 yrs)
- Last Updated
- Jul 27, 2020
- License
-
CO61077409 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3430 E HIGHWAY 101 STE 3PORT ANGELES, WA, 983629069Browse WA providers · Browse ZIP 98362
- Phone
- 3604524062
- Fax
- 3604524189
- Primary Specialty
-
Substance Use Disorder Rehabilitation Facility
261QR0405X
Other Substance Use Disorder Rehabilitation Facility Providers in PORT ANGELES, WA
| Name | Credential | NPI |
|---|---|---|
| MRS. SHAYNA MARIA ROBNETT | CO 60639490 | 1881130128 |
| JESSICA LEE | SUDPT | 1306455258 |
| MARIA R MALKASIAN | SUDPT | 1922617877 |
| LOIS J SPICER | SUDPT | 1215689146 |
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.