Tashyena Marie Blackburn, is a
Peer Specialist based in Ontario, Oregon. Tashyena Marie Blackburn is licensed to practice in * (Not Available) (license number ) and her current practice location is
702 Sunset Dr, Ontario, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 889-9167.
NPI number for Tashyena Marie Blackburn is 1740109198 and her current mailing address is 702 Sunset Dr, Ontario, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740109198.
Healthcare Provider's Profile
| Full Name | Tashyena Marie Blackburn |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 702 Sunset Dr, Ontario, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740109198
- Provider Enumeration Date: 07/10/2026
- Last Update Date: 07/10/2026
Medical Identifiers
Medical identifiers for Tashyena Marie Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1740109198 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tashyena Marie Blackburn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Tashyena Marie Blackburn, 702 Sunset Dr, Ontario, OR 97914-3121 Ph: (541) 889-9167 | Tashyena Marie Blackburn, 702 Sunset Dr, Ontario, OR 97914-3121 Ph: (541) 889-9167 |
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