Provider Demographics
NPI:1295451987
Name:BLAY, MARGARET JANE (LPC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:JANE
Last Name:BLAY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13563 NW THOMPSON RD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97229-3636
Mailing Address - Country:US
Mailing Address - Phone:503-327-4503
Mailing Address - Fax:
Practice Address - Street 1:13563 NW THOMPSON RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97229-3636
Practice Address - Country:US
Practice Address - Phone:503-327-4503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-14
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1456101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health