BRYAN BLALOCK
NPI 1790138188
Counselor - Mental Health in Clackamas, OR
About Bryan Blalock NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRYAN BLALOCK (NPI 1790138188) is an individual mental health provider in Clackamas, Oregon and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bryan Blalock is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
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 Bryan Blalock's NPI number?
The NPI number for Bryan Blalock is 1790138188. It was assigned to this individual provider in the NPPES registry on July 20, 2016.
Where is Bryan Blalock located?
Bryan Blalock practices at 10180 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 571-0884.
What is Bryan Blalock's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Bryan Blalock enrolled in Medicare?
Yes. Bryan Blalock is registered in the Medicare PECOS enrollment system.
What insurance does Bryan Blalock accept?
Health plans from Kaiser Permanente list Bryan Blalock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bryan Blalock was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Bryan Blalock · NPI 1790138188
Mental Health provider in Clackamas, Oregon. Individual provider, active in the CMS NPPES registry since July 20, 2016.
## Identity
- **NPI:** 1790138188 (Entity type: Individual)
- **Enumerated:** July 20, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 10180 SE SUNNYSIDE RD, Clackamas, OR 97015-8970
- **Phone:** (503) 571-0884
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** November 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790138188) · Data from the CMS NPPES public registry.