Blanken, Celeste

Blanken, Celeste is an individual health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-2045. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Blanken, Celeste can be contacted via phone (541) 267-5151.

Contact Information

Primary practice address
1900 Woodland Dr Coos Bay OR 97420-2045
Phone: (541) 267-5151
Fax: (541) 266-4589
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4868 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO165427 Oregon

Profile Details

NPI number 1083684773
LBN Legal business name Blanken, Celeste
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jun 30th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083684773 NPPES
Oregon Other 93-0635514 GROUP TAX FOR BILLING NORTH BEND MEDICAL CENTER
Oregon Other 1407812365 GROUP TAX FOR BILLING NORTH BEND MEDICAL CENTER
Oregon Other DO165427 GROUP TAX FOR BILLING NORTH BEND MEDICAL CENTER
Oregon Other R0000WFBTV GROUP TAX FOR BILLING NORTH BEND MEDICAL CENTER
Oregon Other 16113 GROUP TAX FOR BILLING NORTH BEND MEDICAL CENTER
Oregon MEDICAID 500671822 GROUP TAX FOR BILLING NORTH BEND MEDICAL CENTER

Popular Providers