Blaine, Kevin Patrick
Blaine, Kevin Patrick is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Blaine, Kevin Patrick can be contacted via phone (503) 494-7641.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd
Portland OR 97239-3011
Phone: (503) 494-7641
Fax: (503) 494-4661
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A117484 | California |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | D78083 | Maryland |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | A117484 | California |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD195468 | Oregon |
Profile Details
NPI number | 1457644098 |
---|---|
LBN Legal business name | Blaine, Kevin Patrick |
Credentials | MD, MPH |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 16th, 2011 |
Last updated | Oct 16th, 2023 - about last year |
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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