Blair, Brian Matthew
Blair, Brian Matthew is an individual health care provider with primary practice located at 24900 Se Stark St Ste 103 , Gresham OR 97030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Blair, Brian Matthew can be contacted via phone (503) 935-8088.Contact Information
Primary practice address
24900 Se Stark St Ste 103
Gresham OR 97030
Phone: (503) 935-8088
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD191957 | Oregon |
Profile Details
| NPI number | 1770826372 |
|---|---|
| LBN Legal business name | Blair, Brian Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2013 |
| Last updated | Dec 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770826372 | NPPES |
| Oregon | MEDICAID | 500760980 |
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