Blatt, Jonathan M.

Blatt, Jonathan M. is an sole proprietor health care provider with primary practice located at 6542 Se Lake Rd. Suite 202, Milwaukie OR 97222. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Blatt, Jonathan M. can be contacted via phone (503) 654-5636.

Contact Information

Primary practice address
6542 Se Lake Rd. Suite 202 Milwaukie OR 97222
Phone: (503) 654-5636
Fax: (503) 654-5638
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD16764 Oregon
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD16764 Oregon

Profile Details

NPI number 1699749804
LBN Legal business name Blatt, Jonathan M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2006
Last updated Nov 24th, 2009 - about 17 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 1699749804 NPPES
Oregon Other 050038330 RR MEDICARE
Oregon MEDICAID 8291734 RR MEDICARE
Oregon MEDICAID 009907 RR MEDICARE

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