Blacketor, Paula Dawn
Blacketor, Paula Dawn is an sole proprietor health care provider with primary practice located at 10100 Se Sunnyside Rd , Clackamas OR 97015-8970. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Blacketor, Paula Dawn can be contacted via phone (503) 571-2880.Contact Information
Primary practice address
10100 Se Sunnyside Rd
Clackamas OR 97015-8970
Phone: (503) 571-2880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD16840 | Oregon |
Profile Details
| NPI number | 1184718611 |
|---|---|
| LBN Legal business name | Blacketor, Paula Dawn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jul 16th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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