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Melissa Anne Blackburn

Case Manager/Care Coordinator in Vancouver, WA. Individual provider (NPI-1).

NPI number1083170591
StatusActive
Last updated in NPPESFeb 20, 2019

Details

NPI
1083170591
Entity type
Individual (NPI-1)
Name
Melissa Anne Blackburn
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 20, 2019
Last updated
Feb 20, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

9300 Ne Oak View Dr
Vancouver, WA 98662-6157

Phone 360-675-2211

Mailing address

2408 Nw 106th St
Vancouver, WA 98685-4871

Phone 971-218-6542

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