Blake, Christopher A.
Blake, Christopher A. is an individual health care provider with primary practice located at 355 Se Baker St , Mcminnville OR 97128-6039. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Blake, Christopher A. can be contacted via phone (503) 472-0423.Contact Information
Primary practice address
355 Se Baker St
Mcminnville OR 97128-6039
Phone: (503) 472-0423
Fax: (503) 472-4325
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 10783 | Oregon |
Profile Details
NPI number | 1962450601 |
---|---|
LBN Legal business name | Blake, Christopher A. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 5th, 2006 |
Last updated | Oct 7th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962450601 | NPPES |
Oregon | MEDICAID | 228452 | |
Oregon | Other | 930805004 | |
Oregon | Other | 200001052 |
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