IndividualActive
Jennifer Blake, MA
NPI 1457649204 · Marriage & Family Therapist · Milwaukie, OR
Provider details
- NPI number
- 1457649204
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- MA
- Sex
- Female
- Sole proprietor
- Yes
- License
- R1530 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
11630 Se 40th Ave
Suite a
Milwaukie, OR 97222-6195
Phone: (503) 794-5968
Street-level locationGet directions
Mailing address
11630 Se 40th Ave
Milwaukie, OR 97222-6195
Registry dates
- Enumerated
- 2011-07-14
- Last updated
- 2011-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.