-- JOSEPH G BLACKINTON -- PhD
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1396805016- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PhD
- Status
- Active
Contact & Location
- Address
- COASTAL CENTER, LLC 1834 MCPHERSON AVE, NORTH BEND, OR, 97459
- Phone
- (541) 267-2113
- Fax
- (541) 267-5071
Specialties & Taxonomies
Psychologist, Clinical
License: SD #250
Psychologist, Clinical
Primary License: OR #3970