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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER L BLAKE, MA

Active Sole Proprietor

JENNIFER L BLAKE, MA is a Marriage & Family Therapist healthcare provider located in MILWAUKIE, Oregon. NPI 1457649204 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · MILWAUKIE, OR

Registration Details

NPI Number
1457649204
Provider Type
Individual
Gender
Female
NPI Issued
Jul 14, 2011 (15.049421275206 yrs)
Last Updated
Jul 14, 2011
Licenses
R1530 (OR)
R1576 (OR)
Sole Proprietor
Yes

Practice Information

Address
11630 SE 40TH AVE
SUITE A
MILWAUKIE, OR, 972226195
Browse OR providers · Browse ZIP 97222
Phone
5037945968
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Marriage & Family Therapist

Other Marriage & Family Therapist Providers in MILWAUKIE, OR

Name Credential NPI
MR. ERIC F. NIELSON M.A. 1346440070
KIREN ALI MS 1194360941
MS. LILLIAN DUNHAM MFTA 1922885714
AMANDA HALBERT 1477399269
ALAN MURRAY LMFT 1891657540
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.