Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HOLLY BLALACK
ActiveHOLLY BLALACK is a Peer Specialist healthcare provider located in TIGARD, Oregon. NPI 1942778139 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · TIGARD, OR
Registration Details
- NPI Number
- 1942778139
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 6, 2018 (7.7435847041868 yrs)
- Last Updated
- Nov 6, 2018
- License
-
18-CRM-045 (OR)
Practice Information
- Address
-
12540 SW MAIN ST STE 202TIGARD, OR, 972236198Browse OR providers · Browse ZIP 97223
- Phone
- 5039069995
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in TIGARD, OR
| Name | Credential | NPI |
|---|---|---|
| JOHN LYLE PFEIFFER | — | 1821424326 |
| MYKEL EVAN KNIGHT | — | 1184023145 |
| LEON MCCOY | — | 1154708667 |
| KENNETH ALLEN DOUGHERTY | CRM, QMHA-I | 1194234096 |
| FLETCHER NASH | CRM,THW | 1003319765 |
| MELISSA LONG | — | 1902364755 |
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.