Christine Blake
Specialist in Tigard, OR. Individual provider (NPI-1).
NPI number1881980407
StatusActive
Last updated in NPPESJun 22, 2011
Details
- NPI
- 1881980407
- Entity type
- Individual (NPI-1)
- Name
- Christine Blake
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2011
- Last updated
- Jun 22, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
8770 Sw Scoffins StTigard, OR 97223-6226
Phone 503-684-1425
Mailing address
14600 Nw Cornell RdPortland, OR 97229-5442
Phone 503-645-3581
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All 38 Specialist providers in Tigard · All 3,604 providers in Tigard
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