Blanchard, Deborah A

Blanchard, Deborah A is an sole proprietor health care provider with primary practice located at 1015 Nw 22Nd Ave Ste T240, Portland OR 97210-3025. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Blanchard, Deborah A can be contacted via phone (503) 413-7711.

Contact Information

Primary practice address
1015 Nw 22Nd Ave Ste T240 Portland OR 97210-3025
Fax: (503) 227-0218
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X DO21399 Oregon

Profile Details

NPI number 1497790448
LBN Legal business name Blanchard, Deborah A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2006
Last updated Jan 3rd, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497790448 NPPES
Oregon MEDICAID 130029

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