KIMBERLY ANN BLACKWELL
NPI 1407649411
Counselor in Tigard, OR
- Individual
- Female
- Counselor
About KIMBERLY BLACKWELL
This page provides the complete NPI Profile along with additional information for Kimberly Blackwell, a provider established in Tigard, Oregon with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1407649411 assigned on May 2025. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1407649411 Verify this NPI
- Provider Name
- KIMBERLY ANN BLACKWELL
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 8770 SW SCOFFINS ST TIGARD, OR 97223
- Location Phone
- (503) 684-1424
- Location Fax
- (503) 684-1425
- Mailing Address
- 5415 SW WESTGATE DR PORTLAND, OR 97221
- Mailing Phone
- (503) 645-3581
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-23-2025
- Last Update Date
- 05-23-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
TIGARD, OR 97223
TIGARD, OR 97223
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TIGARD, OR 97223
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407649411, enumerated as an "individual" on May 23, 2025.
The provider is located at 8770 SW SCOFFINS ST TIGARD, OR 97223 and the phone number is (503) 684-1424.
Counselor with taxonomy code 101Y00000X.
