IndividualActive
Phillip Blea, LCSW
NPI 1356497556 · Clinical Social Worker · Corvallis, OR
Provider details
- NPI number
- 1356497556
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- 3451 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4455 Ne Highway 20
Corvallis, OR 97330-9695
Phone: (541) 750-1110
Approximate (ZIP-level) locationGet directions
Mailing address
3570 Elderberry Dr S
Salem, OR 97302-4053
Registry dates
- Enumerated
- 2007-01-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.