MARIAH C BLASE


Address: 335 Se 8th Ave, Hillsboro, OR 97123-4246
Phone: 5036811789

MARIAH C BLASE (NPI# 1083128516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083128516
Entity Type Individual
Full Name MARIAH C BLASE
Credential CADC CANDIDATE/QMHP
Practice Address 335 Se 8th Ave
Hillsboro
OR 97123-4246
Mailing Address 1776 Sw Madison St
Portland
OR 97205-1715
Practice Telephone 5036811789
Mailing Telephone 9713862278
Mailing Fax Number 5032244494
Enumeration Date 2017-11-20
Last Update Date 2019-08-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
T-18-145 OR Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
OR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 500750351 05
OR 500743935 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
620 Ne 2nd St, Gresham, OR 970307514 9712743757 5039125740
1698 Sw Cherry Park Rd, Troutdale, OR 970601481 5036673186

Office Location

Street Address 335 SE 8TH AVE
City HILLSBORO
State OR
Zip Code 97123-4246

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942283676 Darrell Martin Polster Anesthesiology 335 Se 8th Ave, Hillsboro, OR 97123-4246 2005-11-28
1871104158 Yi Ling Dorcas Cheung Pharmacist 335 Se 8th Ave, Hillsboro, OR 97123-4246 2020-08-11
1649899089 Heidi Petrowsky Dietitian, Registered 335 Se 8th Ave, Hillsboro, OR 97123-4246 2020-04-15
1699306464 Frederique Josee Blouin Pharmacist 335 Se 8th Ave, Hillsboro, OR 97123-4246 2020-01-30
1023678950 Jannell Ann Kaiser Social Worker 335 Se 8th Ave, Hillsboro, OR 97123-4246 2019-06-13
1255991188 Carol Mace Social Worker 335 Se 8th Ave, Hillsboro, OR 97123-4246 2019-06-13
1154899920 Esther Yun-huh Md Anesthesiology 335 Se 8th Ave, Hillsboro, OR 97123-4246 2018-11-09
1982189767 Sydney Catherine Briot Social Worker 335 Se 8th Ave, Hillsboro, OR 97123-4246 2018-09-27
1699291427 Valerie Anne Walker Nurse Practitioner 335 Se 8th Ave, Hillsboro, OR 97123-4246 2017-08-14
1477087823 Elizabeth Ballard Elliott Nurse Practitioner 335 Se 8th Ave, Hillsboro, OR 97123 2017-04-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851916241 Gabriel Lawrence Physical Therapist 2973 Se 79th Ave., Hillsboro, OR 97123 2020-06-11
1487278453 Jordan Gregory Evans Student in an Organized Health Care Education/Training Program Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 2020-06-04
1124641006 Jessica Anne Bramlett Student in an Organized Health Care Education/Training Program 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 2020-05-26
1003448168 Madelyn Vogt Community Health Worker 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 2020-02-06
1215435789 Renise Harrel Massage Therapist 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 2018-01-30
1497260269 Amy Hodges Counselor 222 Se 8th Ave # 212, Hillsboro, OR 97123 2017-12-02
1033623723 Tamira L Heyob Doula 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 2017-11-17
1134644024 Tara Kyoko Taylor Massage Therapist 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 2017-08-11
1023543055 Austin Simpson Counselor 222 Se 8th, Suite 222, Hillsboro, OR 97123 2017-04-27
1124569769 Emergency Tooth Doctor Hillsboro, Prof. Corp. Dentist 752 Se Oak St, Hillsboro, OR 97123 2017-03-15
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790392421 Alexandra Grace Pizzo Counselor 6310 E Main St, Hillsboro, OR 97123-6891 2020-09-27
1700495983 Jaclyn Lawrence Hogan Counselor 6297 Ne Cherry Dr, Hillsboro, OR 97124-7105 2020-07-23
1124646716 Abigail Morgan Rose Counselor 222 Se 8th Ave Ste 222, Hillsboro, OR 97123-4218 2020-07-09
1871110734 Ronald K Howard Jr. Counselor 11191 Rte 185, Hillsboro, IL 62049 2020-06-26
1932737012 Nastassia Betcher Counselor 3483 Se Pepperwood Way, Hillsboro, OR 97123-8664 2020-04-01
1336770593 Abirami Ravindran Counselor 2080 Ne Thorncroft Dr Apt 1128, Hillsboro, OR 97124-9036 2020-01-27
1619529740 Elise Nicole Howell Counselor 8280 Ne Mauzey Ct, Hillsboro, OR 97124-9092 2019-07-09
1992360945 Priyal Asiri Ranasinghe Counselor 222 Se 8th Ave Ste 310, Hillsboro, OR 97123-4218 2019-05-06
1366959405 Jodie Rai Lewis Counselor 2499 Nw 206th Ave Apt A233, Hillsboro, OR 97006-6468 2018-01-10
1023543055 Austin Simpson Counselor 222 Se 8th, Suite 222, Hillsboro, OR 97123 2017-04-27
Find all providers in HILLSBORO

Competitor

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City HILLSBORO
Zip Code 97123

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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