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MARK BLAYLOCK
NPI 1013511633
Peer Specialist in Hillsboro, OR

Active since November 24, 2020
1049 SW BASELINE ST STE D480, HILLSBORO, OR 97123(503) 465-2749 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Blaylock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK BLAYLOCK (NPI 1013511633) is an individual peer specialist in Hillsboro, Oregon, licensed in (THW000002084) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1013511633
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMARK BLAYLOCK
Location Address1049 SW BASELINE ST STE D480Hillsboro, OR 97123-3863
Mailing AddressPo Box 16576Portland, OR 97292-0576
Phone(503) 465-2749
Sole ProprietorNo
Enumeration DateNovember 24, 2020
NPPES CertifiedNovember 24, 2020
✔ NPI 1013511633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed · THW000002084
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1049 SW BASELINE ST STE D480, Hillsboro, OR 97123
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOUGLAS MILLER
Peer Specialist
1049 SW BASELINE ST STE D480
HILLSBORO, OR 97123
Washington County (503) 465-2749
DANIEL MARCUM
Peer Specialist
1049 SW BASELINE ST STE D480
HILLSBORO, OR 97123
Washington County (503) 465-2749
LILLIAN ADELE RHODES
Counselor (Addiction (Substance Use Disorder))
1049 SW BASELINE ST STE D480
HILLSBORO, OR 97123
Washington County (503) 465-2749
ASHLEY GLAWE
Case Manager/Care Coordinator
1049 SW BASELINE ST STE D480
HILLSBORO, OR 97123
Washington County (503) 465-2749
JORDAN ANGELL
Peer Specialist
1049 SW BASELINE ST STE D480
HILLSBORO, OR 97123
Washington County (503) 465-2749
SILVIA STAVREVA CRM
Peer Specialist
1049 SW BASELINE ST STE D480
HILLSBORO, OR 97123
Washington County (503) 465-2749
SARAH LOFGREN CRM
Peer Specialist
1049 SW BASELINE ST STE D480
HILLSBORO, OR 97123
Washington County (503) 465-2749
KIMBERLY CLEMENS
Peer Specialist
1049 SW BASELINE ST STE D480
HILLSBORO, OR 97123
Washington County (503) 465-2749

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Blaylock's NPI number?

The NPI number for Mark Blaylock is 1013511633. It was assigned to this individual provider in the NPPES registry on November 24, 2020.

Where is Mark Blaylock located?

Mark Blaylock practices at 1049 SW Baseline St Ste D480, Hillsboro, OR 97123. The listed phone number is (503) 465-2749.

What is Mark Blaylock's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Mark Blaylock was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.