Blasi, Susan A

Blasi, Susan A is an individual health care provider with primary practice located at 17550 Provost St Ste 201 , Lake Oswego OR 97034-5199. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Blasi, Susan A can be contacted via phone (503) 513-3350.

Contact Information

Primary practice address
17550 Provost St Ste 201 Lake Oswego OR 97034-5199
Phone: (503) 513-3350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO200035 Oregon

Profile Details

NPI number 1164877023
LBN Legal business name Blasi, Susan A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2016
Last updated Jan 29th, 2021 - about 4 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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