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General NPI Number Information
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NPI Number | 1851217376
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Entity Type | Individual
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Provider Name | RIKKI BLODGETT
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Gender | Female
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 15268 SE GREENVIEW DR
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City | PORTLAND
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State | OR
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Zip | 97267-3445
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Country | US
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Telephone | 503-387-0247
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Fax |
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Provider Business Mailing Address
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Address Line | 15268 SE GREENVIEW DR
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City | PORTLAND
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State | OR
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Zip | 97267-3445
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Country | US
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Telephone | 503-387-0247
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | 109504
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License Number State | OR
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