Individual provider · NPI-1
Dr. Brian Matthew Blair, M.D.
Urology · Gresham, OR
NPI number1770826372
StatusActive
Last updated in NPPESApr 22, 2025
Details
- NPI
- 1770826372
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brian Matthew Blair
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2013
- Certification date
- Apr 22, 2025
- Last updated
- Apr 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | MD191957 | OR | Yes |
Practice location
24900 Se Stark St Ste 103Gresham, OR 97030
Phone 503-935-8088
Mailing address
541 Ne 20th Ave Ste 225Portland, OR 97232-2895
Phone 503-963-2801 · Fax 503-963-2825
Other practice locations
10000 Se Main St Ste 342
Portland, OR 97216-2470
Portland, OR 97216-2470
Phone 503-255-5244 · Fax 503-255-5120
501 N Graham St Ste 420
Portland, OR 97227-2006
Portland, OR 97227-2006
Phone 503-288-7303 · Fax 503-288-3806
2801 N Gantenbein Ave
Portland, OR 97227-1623
Portland, OR 97227-1623
Phone 503-413-2200
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