Blackmar, Charles

Blackmar, Charles is an individual health care provider with primary practice located at 1818 Se Division St , Portland OR 97202-1159. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Nursing Service Related Providers / Adult Companion, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Blackmar, Charles can be contacted via phone (503) 963-7613.

Contact Information

Primary practice address
1818 Se Division St Portland OR 97202-1159
Phone: (503) 963-7613
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Nursing Service Related Providers / Adult Companion 372600000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X L6504 Oregon

Profile Details

NPI number 1194925461
LBN Legal business name Blackmar, Charles
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2007
Last updated Feb 27th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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