IndividualActive
Jessie Blakeman
NPI 1073046165 · Mental Health Counselor · Boardman, OR
Provider details
- NPI number
- 1073046165
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
70362 Kunze Ln
Boardman, OR 97818-8013
Phone: (541) 481-3233
Fax: (541) 481-3234
Approximate (ZIP-level) locationGet directions
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Registry dates
- Enumerated
- 2017-04-06
- Last updated
- 2017-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.