Blake, Eric Michael
Blake, Eric Michael is an individual health care provider with primary practice located at 833 Sw 11Th Ave Suite 525, Portland OR 97205-2125. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Naturopath, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Other Service Providers / Naturopath is his primary health care specialty. Blake, Eric Michael can be contacted via phone (503) 294-7070.Contact Information
Primary practice address
833 Sw 11Th Ave Suite 525
Portland OR 97205-2125
Phone: (503) 294-7070
Fax: (503) 224-2130
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Naturopath | 175F00000X | 1389 | Oregon |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1389 NATUROPATHIC | Oregon |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 1389 NATUROPATHIC | Oregon |
Profile Details
NPI number | 1992837546 |
---|---|
LBN Legal business name | Blake, Eric Michael |
Credentials | N.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 9th, 2007 |
Last updated | Oct 2nd, 2012 - about 13 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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