IndividualActive
Zachariah Blaylock, SUDPT
NPI 1306455241 · Substance Use Disorder Rehabilitation Clinic/Center · Port Angeles, WA
Provider details
- NPI number
- 1306455241
- Entity type
- Individual
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Credential
- SUDPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- CO61077409 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3430 E Highway 101 Ste 3
Port Angeles, WA 98362-9069
Phone: (360) 452-4062
Fax: (360) 452-4189
Street-level locationGet directions
Mailing address
Po Box 478
Port Angeles, WA 98362-0072
Registry dates
- Enumerated
- 2020-07-27
- Last updated
- 2020-07-27
- Certified
- 2020-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.