Blanchard, Jeffrey Raymond

Blanchard, Jeffrey Raymond is an individual health care provider with primary practice located at 1875 Golf Course Rd S , Salem OR 97302-9622. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Blanchard, Jeffrey Raymond can be contacted via phone (503) 585-4824.

Contact Information

Primary practice address
1875 Golf Course Rd S Salem OR 97302-9622
Phone: (503) 585-4824
Fax: (503) 370-2545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3662 Oregon

Profile Details

NPI number 1083698450
LBN Legal business name Blanchard, Jeffrey Raymond
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Oct 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083698450 NPPES
Oregon MEDICAID 182199

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